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Successful Endoscopic Treatment of an Actively Bleeding Jejunal Dieulafoy's Lesion
Taiki Aoyama1, Akira Fukumoto, Shinichi Mukai
1Department of Gastroenterology, Hiroshima City Asa Citizens Hospital, Japan.
Abstract:
Although small bowel endoscopy is commonly performed, cases of ongoing bleeding from small bowel lesions have not been commonly encountered. In the present report, we describe a case of successful endoscopic treatment of an actively bleeding jejunal Dieulafoy's lesion in a 79-year-old man with persistent anemia and melena. Capsule endoscopy indicated active bleeding in the jejunum. Thereafter, double-balloon endoscopy-performed via the oral approach-showed active bleeding from a jejunal Dieulafoy's lesion, which was treated using argon plasma coagulation and hemoclips. The melena subsequently resolved, and the patient's condition improved after the endoscopic treatment.
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