Korean J Gastrointest Endosc.  2006 May;32(5):357-360.

A Case of Endoscopic Management of Dieulafoy's Lesion in the Ampulla of Vater

  • 1Department of Internal Medicine, Pusan National University College of Medicine, Busan, Korea. hero0791@paran.com


Dieulafoy's lesion is an uncommon but important cause of massive upper gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction but extragastric locations of Dieulafoy's lesion are rare. In this study, diagnosis of Dieulafoy's lesion was frequently made by endoscopy instead of surgery. Hemostasis was achieved by endoscopic treatment in more than 90% of patients. We report the successful application of endoscopic hemoclipping for treatment of active bleeding from Dieulafoy's lesion in the ampulla of Vater of the duodenum.


Dieulafoy's lesion; Hemoclip; Gastrointestinal bleeding; Ampulla of Vater
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