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Exulceratio simplex dieulafoy

F Bech-Knudsen1, C Toftgaard

  • 1Department of Surgical Gastroenterology, University Hospital, Aarhus, Denmark.

Surgery, Gynecology & Obstetrics
|February 1, 1993
PubMed
Summary
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Dieulafoy lesions in the stomach are challenging to diagnose due to their location and intermittent bleeding. This study details endoscopic and surgical treatments for Exulceratio Simplex Dieulafoy lesions.

Area of Science:

  • Gastroenterology
  • Surgical Endoscopy
  • Gastrointestinal Bleeding

Background:

  • Dieulafoy lesions (Exulceratio Simplex) are a rare cause of gastrointestinal bleeding.
  • These lesions are often overlooked during standard endoscopic and surgical examinations due to their subtle presentation and location in the upper stomach.

Purpose of the Study:

  • To describe the diagnostic and therapeutic challenges associated with Dieulafoy lesions of the stomach.
  • To present a treatment strategy for managing Exulceratio Simplex.

Main Methods:

  • Retrospective analysis of 18 patients treated over three years.
  • Treatment involved repeated endoscopies with attempted hemostasis using injection sclerotherapy and electrocoagulation.
  • Surgical wedge resection with a linear stapler was employed when endoscopic treatment failed.

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Main Results:

  • The study included 18 patients (9 male, 9 female) with Dieulafoy lesions.
  • Intermittent bleeding and lack of chronic ulceration complicated diagnosis.
  • Successful hemostasis was achieved through a combination of endoscopic and surgical interventions.

Conclusions:

  • Dieulafoy lesions require a high index of suspicion for accurate diagnosis.
  • A stepwise approach combining endoscopic hemostasis and surgical intervention is effective for managing these challenging lesions.