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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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
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author Sinkeet Simeon Ranketi
Stephen Louis Burgert
Robert Parker
author_facet Sinkeet Simeon Ranketi
Stephen Louis Burgert
Robert Parker
author_sort Sinkeet Simeon Ranketi
collection DOAJ
description 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.
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spelling doaj.art-445bf43db3c247149d2caf9a3759dc732022-12-22T00:38:12ZengSurgical Society of KenyaThe Annals of African Surgery1999-96742523-08162016-07-011328689Endoscopic Treatment of a Gastric Dieulafoy’s LesionSinkeet Simeon Ranketi0Stephen Louis Burgert1Robert Parker2Tenwek Hospital Bomet, KenyaTenwek HospitalWarren Alpert School of Medicine, Brown UniversityGastrointestinal (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.https://www.annalsofafricansurgery.com/endoscopic-treatment-of-a-gastric-dendoscopy; hematemesis; dieulafoy’s lesion; stomach
spellingShingle Sinkeet Simeon Ranketi
Stephen Louis Burgert
Robert Parker
Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
The Annals of African Surgery
endoscopy; hematemesis; dieulafoy’s lesion; stomach
title Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
title_full Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
title_fullStr Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
title_full_unstemmed Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
title_short Endoscopic Treatment of a Gastric Dieulafoy’s Lesion
title_sort endoscopic treatment of a gastric dieulafoy s lesion
topic endoscopy; hematemesis; dieulafoy’s lesion; stomach
url https://www.annalsofafricansurgery.com/endoscopic-treatment-of-a-gastric-d
work_keys_str_mv AT sinkeetsimeonranketi endoscopictreatmentofagastricdieulafoyslesion
AT stephenlouisburgert endoscopictreatmentofagastricdieulafoyslesion
AT robertparker endoscopictreatmentofagastricdieulafoyslesion