Advanced Search

Home > Journals > Chirurgia > Past Issues > Chirurgia 1999 December;12(6) > Chirurgia 1999 December;12(6):457-60

ISSUES AND ARTICLES   MOST READ

CURRENT ISSUECHIRURGIA

A Journal on Surgery

Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index

Frequency: Bi-Monthly

ISSN 0394-9508

Online ISSN 1827-1782

 

Chirurgia 1999 December;12(6):457-60

    CLINICAL REPORTS

Dieulafoy's disease

Caputo O. J., Lippolis A., Verzillo F., Simone M., Scardigno A., Memeo V.

Dieulafoy's disease is a well known entity characterised by a bleeding or clot bearing artery protruding into the intestinal lumen without surrounding ulceration. Its incidence among the causes of acute upper gastrointestinal bleeding varies from 0.5 to 14%. Dieulafoy lesion is diagnosed most often by endoscopy; an experienced endoscopist is necessary as Dieulafoy disease can be easily be overlooked. The first endoscopic session is diagnostic in 82% of cases. The endoscopic treatment by injection therapy has a high success rate(95%). Surgery should only be considered if primary endoscopic treament fails. Three cases of Dieulafoy's gastric lesion are reported. In all cases an emergency endoscopy was performed and treatment with local injection was successful in two cases. Only one patient showed rebleeding episodes and needed surgical treament. Endoscopic injection treatment is safe and represents the first choice in the management of Dieulafoy's disease.

language: Italian


Full text temporarily not available online. Contact us  REPRINTS

top of page