Artigo
Dieulafoy lesion: Endoscopic and surgical management
Fecha
2006-02-01Registro en:
Surgical Laparoscopy Endoscopy & Percutaneous Techniques. Philadelphia: Lippincott Williams & Wilkins, v. 16, n. 1, p. 1-3, 2006.
1530-4515
10.1097/01.sle.0000202191.59322.5f
WOS:000235749500001
Autor
Linhares, M. M.
Filho, B. H.
Schraibman, V
Goitia-Duran, M. B.
Grande, JCD
Sato, N. Y.
Lourenco, L. G.
Lopes, GDJ
Institución
Resumen
Dieulafoy lesion is characterized by exteriorization of a large pulsatile arterial vessel through a minimal mucosal tear Surrounded by normal mucosa, causing massive and recurrent tipper digestive bleeding in previously healthy patients. More frequently presented than diagnosed, with the increase of its knowledge among endoscopists, a large number of cases are expected in the literature. Data from patients with upper gastrointestinal bleeding Submitted to endoscopy at the Federal University of São Paulo, Gastrointestinal Endoscopy Unit from 199) through 2002 were reviewed for Dieulafoy lesion. We found 15 patients with typical Dieulafoy gastric lesion. Their ages ranged from IS to 78 years (mean age 49.9): 5 patients were female and 10 were male. Bleeding presented as hematemesis and melena in 7 cases (46.6%), hematemesis alone in 4 cases (26.6%), and melena alone in the other 4 cases (26.6%). Initial hemostatic approaches employed were: alcoholization (2 cases), epinephrine associated with alcohol injection (5 cases), sclerosis in 7 cases and surgery in 1 case. Dieulafoy lesion is a distinct nosologic entity that must be Suspected in patients with massive digestive bleeding. Endoscopy became the procedure of choice for diagnosis and treatment of this disease.