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Instituto de Seguridad y Servicios Sociales de los Trabajadores del Estado

2013, Number 4

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Rev Esp Med Quir 2013; 18 (4)

Endoscopic Treatment of Dieulafoy Lesions

Botello HZ, Domínguez CL, Núñez GE, González AMA, Rosas BV, Torices EE

Language: Spanish
References: 14
Page: 322-327
PDF size: 490.54 Kb.


ABSTRACT

Background: Dieulafoy lesion is the presence of a large blood vessel that can persist, erode and cause massive, recurrent and fatal bleeding.
Objective: To communicate a case series of Dieulafoy lesion treated at Service of Gastrointestinal Endoscopy at Regional Hospital 1° de Octubre, ISSSTE, during 2008 to 2013.
Material and method: A case series study without controls, which included 14 patients with Dieulafoy lesion treated endoscopically.
Results: We studied 14 patients with a diagnosis of Dieulafoy lesion, with a mean age of 62.4±14.1 years, 11 were male (79%) and 3 female (21%), with 1-2 bleeding episodes. Two patients (14%) suffered diabetes mellitus type 2, nine (64%) had hypertension, one (7%) liver disease, nine (64%) were smokers, five (36%) consumed alcohol, one (7%) consumed inflammatory drugs and one (7%), oral anticoagulant therapy. Initial endoscopy identified the bleeding vessel in 6 (43%), in 2 (14%) were placed clips, and in 13 (93%) were injected adrenaline. In control endoscopy, only one patient (7%) had bleeding.
Conclusion: Endoscopy is the method of choice for the diagnosis; therapy depends on the preference and experience of the endoscopist, the clinical presentation of each case and material resources available.


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