Doppler-controlled injection treatment of Dieulafoy's disease
Autor: | T. Koerner, Hammar Ch, D. Jaspersen, Gaster Cb |
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Rok vydání: | 1993 |
Předmět: |
Adult
Male medicine.medical_specialty Injections Arteriovenous Malformations Recurrent haemorrhage symbols.namesake Sclerotherapy medicine Humans Stomach Ulcer Aged Ultrasonography Hepatology medicine.diagnostic_test business.industry Stomach Vascular malformation Gastroenterology Middle Aged medicine.disease Endoscopy Surgery medicine.anatomical_structure symbols Female Dieulafoy s disease Gastrointestinal Hemorrhage Complication business Doppler effect Blood vessel |
Zdroj: | Journal of Gastroenterology and Hepatology. 8:267-269 |
ISSN: | 1440-1746 0815-9319 |
Popis: | Dieulafoy's anomaly is a vascular malformation of the upper stomach, which typically causes massive and recurrent haemorrhage. Emergency endoscopy is the most effective method of diagnosing the disease. Until recently, the therapy of choice was surgical resection. Five patients with spontaneously stopped bleeding from Dieulafoy's ulceration were investigated. Transendoscopic Doppler ultrasound was used to identify arterial blood flow from the lesions. Local injection treatment was performed. Successful therapy resulted in the disappearance of arterial pulsations and no rebleeding occurred. The endoscopic Doppler is of diagnostic value in the evaluation of Dieulafoy's ulcer and enables control of endoscopic sclerotherapy. |
Databáze: | OpenAIRE |
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