TITLE

Endoscopic Treatment of Dieulafoy's Lesion of the Duodenum

AUTHOR(S)
Goldenberg, Steven P.; DeLuca Jr., Vincent A.; Marignani, Pierluigi
PUB. DATE
April 1990
SOURCE
American Journal of Gastroenterology;Apr1990, Vol. 85 Issue 4, p452
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Dieulafoy's lesion is an often unrecognized cause of catastrophic upper gastrointestinal hemorrhage, typically seen in otherwise asymptomatic patients. Although the lesion is most often found in the stomach, it has rarely been reported to occur in the jejunum and duodenum. Endoscopic treatment has recently been attempted to arrest the bleeding from these lesions, when found in the stomach, with satisfactory results. We report a patient with a bleeding duodenal Dieulafoy lesion who was successfully treated with endoscopic injection of epinephrine (1:10,000) and electrocoagulation. Endoscopic treatment of Dieulafoy's lesion should he attempted before surgery and, as in other causes of acute nonvariceal hemorrhage, be considered the treatment of choice.
ACCESSION #
16018923

 

Related Articles

  • The Use of Intravenous H2-Receptor Antagonists in a Tertiary Care Hospital. Dettmer, Robert M.; Riley, Thomas H.; Byfield, Floyd; Green, Peter H. R. // American Journal of Gastroenterology;Dec1999, Vol. 94 Issue 12, p3473 

    OBJECTIVE: The rationale for the widespread use of intravenous H2 receptor antagonists(IVH2 RA) in hospitalized patients is not clear. We therefore examined prescribing patterns and, using strict criteria, determined whether use was appropriate. Cost of administration and potential savings were...

  • Dieulafoy's lesion of duodenum: a case report. Ibrarullah, Mohammed; Wagholikar, Gajanan D. // BMC Gastroenterology;2003, Vol. 3, p2 

    Background: Dieulafoy's lesion is an uncommon but important cause of recurrent upper gastrointestinal bleeding. Extragastric location of Dieulafoy's lesion is rare. We report two cases of Dieulafoy's lesion of the duodenum and discuss the management of this extremely uncommon entity. Case...

  • Klasifikacije i skoring sistemi u dijagnostici, prognozi i lečenju krvarenja iz proksimalnog dela digestivnog trakta. Benedeto-Stojanov, Daniela; Nagorni, Aleksandar; Bjelaković, Goran; Petrović, Gordana; Stojanov, Dragan; Djenić, Nebojša // Vojnosanitetski Pregled: Military Medical & Pharmaceutical Journ;Oct2011, Vol. 68 Issue 10, p872 

    No abstract available.

  • Duodenal Somatostatinoma Presenting as Upper Gastrointestinal Bleeding. Saifuddin, Tahira; Linder, Chadwick; Banerjee, Bhaskar // American Journal of Gastroenterology;May1999, Vol. 94 Issue 5, p1405 

    Duodenal somatostatinoma is a rare cause of upper gastrointestinal bleeding. We report the case of a 55-yr-old woman who presented with upper gastrointestinal hemorrhage due to a duodenal somatostatinoma. We discuss the characteristics of these tumors, and review the literature on diagnostic...

  • Daily Gastric pH in Controls and in Duodenal Ulcer Patients: Basal Condition and Response to Treatment. Masoero, G.; Rossanino, M.; Marchetto, M.; De la Pierre, M.; Marucci, M.; Arossa, W. // American Journal of Gastroenterology;Feb1988, Vol. 83 Issue 2, p136 

    Gastric pH was monitored, by means of a computerized system, in healthy controls (C) and in patients with active duodenal ulcer (ADU) and inactive duodenal ulcer (IDU). The test was performed before treatment and during administration of a single dose of ranitidine 150 rag, cimetidine 400 mg,...

  • Malrotation causing duodenal chronic obstruction in an adult. Jun Gong; Zhen-Jiang Zheng; Gang Mai; Xu-Bao Liu; Nakajima, Atsushi // World Journal of Gastroenterology;3/7/2009, Vol. 15 Issue 9, p1144 

    Congenital duodenal obstruction is rare in adulthood. An unusual presentation of this condition has led to difficult preoperative diagnosis. We present a case of proximal jejunal obstruction by a congenital band in an adult and review the literature.

  • INFLUENCE OF SHIFT WORK ON THE DIET AND GASTROINTESTINAL COMPLAINS AMONG NURSES. A PILOT STUDY. Bilski, Bartosz // Medycyna Pracy;2006, Vol. 57 Issue 1, p15 

    Background: The work of nurses in hospitals is connected with shift and night work. Numerous publications suggest that shift work is responsible for some gastrointestinal disturbances (heartburn, dyspepsia, loss of appetite, stomach pain). It is not yet conclusive whether shift and night work is...

  • A Histopathological Study on the Etiology of Duodenal Diverticulum Related to the Fusion of the Pancreatic Anlage. Suda, Koichi; Mizuguchi, Kunio; Matsumoto, Michio // American Journal of Gastroenterology;Jun1983, Vol. 78 Issue 6, p335 

    In 18 of 27 cases a duodenal diverticulum, which usually occurs at "weak" spots in the bowel wall, penetrated the pancreas. Of these, 14 cases (77.8%) extended along the embryological fusion line of the ventral and dorsal components, which is considered to be the so-called "locus minoris...

  • A Case of Intraluminal Duodenal Diverticulum Associated with Congenital Biliary Dilatation: A Review of the Literature in Japan. Kubo, Shoji; Sakai, Katsuji; Nagata, Eiichi; Tei, Noritaka // American Journal of Gastroenterology;Jul1986, Vol. 81 Issue 7, p602 

    A case of intraluminal duodenal diverticulum (IDD) associated with congenital biliary dilatation is reported. Patients with intraluminal duodenal diverticulum often have congenital anatomical abnormalities or acquired diseases. The treatment of the intraluminal duodenal diverticulum itself is...

Share

Read the Article

Courtesy of THE LIBRARY OF VIRGINIA

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics