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Massive gastrointestinal bleeding caused by Dieulafoy's lesion
Z Kaufman1, S Liverant, B Shiptz
1Department of Surgery B, Meir General Hospital, Kfar Saba, Israel.
The American Surgeon
|May 1, 1995
Summary
Dieulafoy's lesion, a rare cause of severe gastric bleeding, is challenging to diagnose. Surgical intervention is often necessary for effective treatment and to prevent rebleeding.
Area of Science:
- Gastroenterology
- Vascular Surgery
Background:
- Dieulafoy's lesion involves an abnormal submucosal gastric vessel.
- It can lead to life-threatening gastrointestinal hemorrhage.
- Diagnosis and treatment present significant clinical challenges.
Purpose of the Study:
- To describe clinical cases of Dieulafoy's lesion.
- To highlight diagnostic difficulties and surgical management options.
Main Methods:
- Case series of five patients with massive gastrointestinal bleeding due to Dieulafoy's lesion.
- Diagnosis confirmed via endoscopy and intraoperative findings.
- Surgical interventions included lesion excision and suturing.
Main Results:
- Endoscopic diagnosis in two patients; intraoperative diagnosis in three.
- Gastric source of bleeding identified in all cases via endoscopy.
- Conservative management failed; all patients required surgery.
- Successful surgical outcomes with excision or suture.
Conclusions:
- Dieulafoy's lesion diagnosis is difficult but crucial for surgical planning.
- Surgery is essential for managing Dieulafoy's lesion and preventing rebleeding.
- Various surgical techniques can be employed for effective treatment.