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[Dieulafoy's vascular disease].

J F Ponce González, R Barriga Beltrán, E Prendes Sillero

    Revista Espanola De Las Enfermedades Del Aparato Digestivo
    |December 1, 1989
    PubMed
    Summary

    Dieulafoy's vascular disease causes upper gastrointestinal bleeding from a prominent submucosal artery. Surgical resection is the most effective treatment for this condition.

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    Area of Science:

    • Gastroenterology
    • Vascular Surgery
    • Pathology

    Context:

    • Dieulafoy's vascular disease is a rare but significant cause of upper gastrointestinal hemorrhage.
    • The condition involves a focal defect in the gastric submucosal artery.
    • Diagnosis and management can be challenging due to the subtle nature of the lesion.

    Purpose:

    • To report four cases of Dieulafoy's vascular disease.
    • To describe the clinical presentation, diagnostic methods, and treatment outcomes.
    • To highlight the importance of surgical resection as an effective therapeutic measure.

    Summary:

    • Four patients with Dieulafoy's vascular disease presented with upper gastrointestinal bleeding.
    • The bleeding originated from a large, tortuous submucosal artery eroding the gastric mucosa.
    • The lesion was typically located near the gastroesophageal junction, along the lesser curvature.
    • Diagnosis was confirmed via endoscopy or during emergency surgery.
    • Surgical resection proved to be the most effective treatment in all reported cases.

    Impact:

    • This case series contributes to understanding the pathophysiology and clinical course of Dieulafoy's vascular disease.
    • It underscores the efficacy of surgical intervention for managing severe gastrointestinal bleeding from this cause.
    • Findings may guide clinicians in diagnosing and treating similar rare vascular anomalies of the upper gastrointestinal tract.

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