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Recurrent small-bowel bleeding from a Dieulafoy's lesion after combined endoscopic treatment
Alejandro Pérez Fernández1, José María Rubio Mateos1, María Josefa Sánchez Fernández1
1Sección de Aparato Digestivo, Hospital General Universitario Morales Meseguer, España.
Introduction:
Dieulafoy's lesion of the small bowel is an uncommon cause of gastrointestinal (GI) bleeding that often recurs after endoscopic treatment.
Material And Methods:
we report an observational, descriptive, retrospective, single-center study in 15 patients with small bowel bleeding who were diagnosed with a Dieulafoy's lesion by capsule endoscopy or double-balloon enteroscopy.
Results And Conclusions:
all patients underwent combined endoscopic treatment. During a median follow-up of 33.5 months (range, 2-145), three of the 12 cases that stayed in follow-up (25 %) recurred, all within 48 hours after treatment. Two were successfully re-treated with a repeat endoscopic procedure.
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