Korean J Gastrointest Endosc.  1994 Sep;14(3):357-364.

Endoscopic " 0 " Band Ligation Treatment for 3 Cases with Dieulafoy Lesion

• Park SK
• Choi HS
• Park KS
• Choi DR
• Choi WS
• Ahn JH
• Cho BS
• Park BS
• Ko JH

Abstract

Dieulafoy lesion is very small and easily overlooked as a course of massive, often recurrent hemorrhage that results from the crosion of a submucosal artery, typically in the gastric cardia or fundus. The clinical picture of Dieulafoy lesion is quite uniform: patients commonly present with massive hemorrhage and melena without any relevant history. The diagnostic procedure of choice in patients with severe gastrointestinal bleeding is emergency endoscopy. The lesion is rare but potentially life threatening source of upper gastrointestinal bleeding. Before the endoscopic era, the prognosis for patients with these lesions was quite poor. However, recent reports have described the success of endoscopic therapy in the management of Dieulafoy lesion. We performed emergency endoscopy in 3 patients who had massive or recurrent episode of upper gastrointestinal bleeding, identified to the Dieulafoy lesion. We tried to Endoscopic "0" band ligation, successfully in hemostasis and prevention of recurrence.

Keyword

Dieulafoy lesion; Endoscopic treatment; Gastrointestinal hemorrhage

MeSH Terms

Arteries
Cardia
Emergencies
Endoscopy
Gastrointestinal Hemorrhage
Hemorrhage
Hemostasis
Humans
Ligation*
Melena
Prognosis
Recurrence