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Arterial embolization for Dieulafoy bleeding
N Scaramuzzi1, D Winter, P Broe
1Department of Surgery, Beaumont Hospital, Dublin, Ireland.
Irish Journal of Medical Science
|February 8, 2005
Summary
Dieulafoy's lesion, a rare cause of gastrointestinal bleeding, can be effectively treated with arterial embolization. This minimally invasive procedure offers a fast and safe alternative to traditional surgical or endoscopic interventions.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Dieulafoy's lesion is an uncommon cause of significant gastrointestinal hemorrhage.
- Traditional treatments include endoscopy and open surgery, which can be invasive.
Observation:
- A case of Dieulafoy's lesion was managed using arterial embolization.
- Initial embolization with Gelfoam pledgets resulted in re-bleeding after seven days.
Findings:
- A repeat embolization procedure using fiber coils successfully achieved hemostasis.
- No further bleeding occurred after the second embolization, indicating successful treatment.
Implications:
- Arterial embolization is emerging as a primary treatment for Dieulafoy's lesion.
- This technique is minimally invasive, rapid, and associated with fewer complications compared to surgery.