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The Baader-Meinhof Phenomenon of Dieulafoy's Lesion

Sindhura Kolli1, Khoi Paul Dang-Ho1, Amit Mori2

  • 1Internal Medicine, The Brooklyn Hospital Center, Affiliate of the Mount Sinai Hospital, Brooklyn, USA.

Cureus
|July 17, 2019
PubMed

Insights

Dieulafoy's lesions (DL) are rare but serious gastrointestinal bleeding sources. This review covers their history, diagnosis, and management, highlighting current challenges and innovations.

Area of Science:

  • Gastroenterology
  • Gastrointestinal Endoscopy
  • Vascular Anomalies

Background:

  • Dieulafoy's lesions (DL) are an uncommon cause of gastrointestinal bleeding.
  • Despite advances, DL diagnosis and management remain challenging.
  • Atypical presentations of DL can complicate clinical recognition.

Purpose of the Study:

  • To provide a comprehensive review of Dieulafoy's lesions.
  • To discuss the historical context, epidemiology, and clinical characteristics of DL.
  • To explore current diagnostic modalities and therapeutic strategies for DL.

Main Methods:

  • Literature review of Dieulafoy's lesions.
  • Analysis of diagnostic techniques including endoscopy and imaging.
  • Review of treatment options, including endoscopic hemostasis and surgical interventions.

Main Results:

  • Dieulafoy's lesions are characterized by an aberrant, large submucosal artery.
  • Endoscopy is the primary diagnostic tool, often revealing active bleeding.
  • Treatment success rates vary, with endoscopic interventions being preferred.

Conclusions:

  • Dieulafoy's lesions require a high index of suspicion for diagnosis.
  • Innovative endoscopic techniques have improved management outcomes.
  • Further research is needed to optimize prevention of Dieulafoy's lesion recurrence.
Keywords:
dieulafoydieulafoy's lesionoccult gi bleeding

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