Dieulafoy’s lesion: A case series study
| Autor: | R S Walmsley, Y. T. Lee, Joseph J.Y. Sung |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Gastrointestinal bleeding medicine.medical_treatment Medical Records Lesion Laparotomy medicine Humans Registries Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry Mortality rate Gastroenterology General Medicine Dieulafoy's lesion Middle Aged medicine.disease Surgical Instruments Endoscopy Surgery Treatment Outcome Hemostasis Brief Reports Female medicine.symptom business Gastrointestinal Hemorrhage Case series |
| Popis: | AIM: Dieulafoy’s lesion (DL) accounts for 1-5.8% of cases of acute upper gastrointestinal bleeding (GIB). Its mortality is high, approaching 20%, despite recent advances in endoscopic therapy. We aimed to report our experience in the treatment of DL. METHODS: A retrospective case study of all patients with DL between January 1993 and January 2003 was done. Characteristics, treatment methods, success rates and 30-d mortality of the patients were analyzed. RESULTS: Thirty-six patients were noted to have DL in the study period. Thirty-three records were available for assessment in which 35 DL were identified. The median age of the patients was 67 years with male to female ratio of 5.6:1. Significant comorbidities existed in 69% of the patients. Eighty-nine percent of the DL was found at first endoscopy, three DL at laparotomy. Significant coexistent endoscopic findings existed in 23%. Hemostasis was achieved in 88% by using adrenaline injection, or in combination with heater probe application at first endoscopy. Four cases had re-bleeding, all were successfully treated endoscopically. The 30-d mortality rate was 23%. CONCLUSION: Successful endoscopic hemostasis could be achieved in 100% of cases of DL. The overall mortality may still remain high, mainly due to the comorbidities and age of these patients. |
| Databáze: | OpenAIRE |
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