Endoscopic Treatment of a Gastric Dieulafoy’s Lesion

Gastrointestinal (GI) bleeding is associated with significant mortality and a prompt search and treatment of the etiology is important. Upper GI endoscopy is the gold standard for diagnosis and treatment after initial resuscitation of the patient. In a majority of cases, the cause will be easily ide...

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Bibliographic Details
Main Authors: Sinkeet Simeon Ranketi, Stephen Louis Burgert, Robert Parker
Format: Article
Language:English
Published: Surgical Society of Kenya 2016-07-01
Series:The Annals of African Surgery
Subjects:
Online Access:https://www.annalsofafricansurgery.com/endoscopic-treatment-of-a-gastric-d
Description
Summary:Gastrointestinal (GI) bleeding is associated with significant mortality and a prompt search and treatment of the etiology is important. Upper GI endoscopy is the gold standard for diagnosis and treatment after initial resuscitation of the patient. In a majority of cases, the cause will be easily identified during endoscopy. Dieulafoy’s lesion, a caliber persistent artery in the submucosa, is a rare but important cause of intermittent painless massive GI bleeding. Due to its intermittent nature, it can easily be missed and often requires multiple endoscopic evaluations. We present a case of one such patient with subsequent endoscopic findings and successful treatment along with a review of the literature.
ISSN:1999-9674
2523-0816