Recurrent Dieulafoy’s disease with surgical management: diagnosis by endoscopic ultrasonography. D. Martínez Ares, J. Souto Ruzo, J. Yáñez López, P. Alonso. Request PDF on ResearchGate | Enfermedad de Dieulafoy duodenal: a propósito de un caso | Dieulafoy’s disease is a rare cause of bleeding in either the. Oesophagogastroduodenoscopy showed the characteristic appearance of Dieulafoy lesions—tiny punctuate lesions along the lesser curve of the.

Author: Bazuru Gotaxe
Country: Turkey
Language: English (Spanish)
Genre: Literature
Published (Last): 23 May 2016
Pages: 266
PDF File Size: 15.18 Mb
ePub File Size: 5.74 Mb
ISBN: 336-5-82744-358-5
Downloads: 97081
Price: Free* [*Free Regsitration Required]
Uploader: Julrajas

In this image and video you can observe the blood contents of the lesion. Nevertheless, the actual incidence of this disease is not accurately known, since misdiagnosis may occur in some cases 4. Articles from Gastroenterology Research are provided here courtesy of Elmer Press. Endoscopic management and long-term follow-up of Dieulafoy’s lesions in the upper GI tract.

Video Endoscopic Sequence 9 of 9. Video Endoscopic Sequence 4 of 7. As EGD has its limitations, push enteroscopy has also been utilized which may have a higher yield in dnfermedad obscure locations with DL. In future studies, the developmental origin needs to be enferedad investigated which may allow for better diagnostic techniques resulting in improved mortality rates and patient care. Endoscopic management dr long-term follow-up of Dieulafoy’s lesions in the upper GI tract.

Dieulafoy’s lesion – Wikipedia

Diagnostic dieulafot in the analysis and treatment of DLs continue to be limited to this day. Surg Laparosc Endosc Percutan Tech.

Gastrointest Endosc ; 57 3: In this image as well as the video clip, the final status of diieulafoy is displayed.


There has been on-going debate in regards to its correlation with the underlying mucosa resulting in several detrimental complications. SJR uses a similar algorithm as the Google page rank; it provides a quantitative and qualitative measure of the journal’s impact.

It is safe, effective and has very good long term results. Although fairly uncommon, this entity may be potentially severe and even have a fatal outcome. The consensus seems to be that it is caused by an abnormally large-calibre persistent tortuous submucosal artery. In our study, the diagnosis appeared in the form of a nodular lesion with active bleeding, suggestive of Dieulafoy’s lesion.

Video Endoscopic Sequence 6 of Electrolyte abnormalities are assessed and appropriately corrected.

The Diagnostic Dilemma of Dieulafoy’s Lesion

Thermal coagulation, another useful measure, can be grouped depending on whether it is contact involving bipolar electrocoagulation and heater probe coagulation or non-contact, delivering high-frequency monopolar current through a conductive gas to the submucosa [ 940 ].

Endoscopy ; 33 9: Video Endoscopic Sequence 7 of 7.

Another infiltration of pure Histoacryl, this time using 2 cc. With the use of endoscopic measures, the treatment options are divided into three groups [ 123435 difulafoy Endoscopic diagnosis and treatment of severe hematochezia.

This picture and the video was taken 2 weeks after the procedure with argon plasma. Further analysis and workup needs to be conducted in order to reduce hospital stay and improve survival. Video Endoscopic Sequence 2 of 6. Gastrointest Endosc Clin N Am.

Because this vessel is large in size we decided to use this type of infiltration as a therapeutic strategy. Video Endoscopic Sequence 4 of 6. Video Endoscopic Sequence 2 of Retrieved from ” https: Pablo Villegas a ,?? Medical databases consisting of Medline and specifically revolving on publications found on PubMed were accessed and reviewed.


In one study, angiography was found to be diagnostic in 11 of 14 patients who had DL and who had undergone non-diagnostic endoscopic testing enfeemedad 2630 ]. Video Endoscopic Sequence 8 of 9.

Dieulafoy lesion | Radiology Reference Article |

The majority of lesions are located in the body or fundus of the stomach, occurring only occasionally in the duodenum. Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy’s lesion.

Dieulafoy’s disease–a distinct clinical entity. Dieulafoy’s lesion of the esophagus. Other diagnostic utilities that have been used include the additional use of endoscopic ultrasound [ 32 ].

Aust N Z J Surg. Video Endoscopic Sequence 12 of The agents used include epinephrine, alcohol, ethanolamine, cyanoacrylate glue, polidocanol, thrombin, and hypertonic saline.

Dieulafoy’s lesion

An uncommon cause of life-threatening gastrointestinal bleeding: Wireless capsule endoscopy has also been implemented and although it has been considered minimally invasive, it lacks the benefit of therapeutic intervention [ 931 ].

Video Endoscopic Sequence 5 of 6. Diagnostic improvements and research for the detection of DL continue to advance; however, they remain limited in their capabilities. Dieulafoy’s lesion exulceratio simplex Dieulafoy is a medical condition characterized by a large tortuous arteriole most commonly in the stomach wall submucosal that erodes and bleeds. We present a case illustrating this approach by endoscopic ultrasonography, and describe the morphological substrate of this enfermedav.