Dieulafoy lesions causing upper gastrointestinal bleeding in children
Since the description of Dieulafoy lesions, its' definition has broadened and now represents an acute process that occurs in adult and paediatric patients, with intra-gastric and extra-gastric locations. There are also multiple advancements in the non-operative management of such lesions. Promp...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Elsevier
2019-04-01
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| Series: | Journal of Pediatric Surgery Case Reports |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S2213576618303610 |
| _version_ | 1811277255774568448 |
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| author | N.Z. Mashavave T.R. Govender D.S. Harrison A.P. Theron |
| author_facet | N.Z. Mashavave T.R. Govender D.S. Harrison A.P. Theron |
| author_sort | N.Z. Mashavave |
| collection | DOAJ |
| description | Since the description of Dieulafoy lesions, its' definition has broadened and now represents an acute process that occurs in adult and paediatric patients, with intra-gastric and extra-gastric locations. There are also multiple advancements in the non-operative management of such lesions. Prompt diagnosis and management is required for improved outcomes. Management is mainly dependent on the haemodynamic status of the patient and location of the lesion. Endoscopic diagnosis and the multiple endoscopic treatment options now available have made operative intervention less frequent. However, there are no current management guidelines for DLs in the paediatric population. We look at two patients in two Johannesburg tertiary institutions that presented with gastric and duodenal Dieulafoy lesions and the treatment strategies applied. One patient was managed successfully with haemostatic endo-clips. The other patient was initially managed with endoscopic adrenaline injections at four quadrants but later required a partial gastrectomy. Keywords: Dieulafoy lesion, Endoscopy, Paediatric, Upper gastrointestinal bleeding |
| first_indexed | 2024-04-13T00:12:22Z |
| format | Article |
| id | doaj.art-5ef9a901fa484c48a2a06f6658e934a1 |
| institution | Directory Open Access Journal |
| issn | 2213-5766 |
| language | English |
| last_indexed | 2024-04-13T00:12:22Z |
| publishDate | 2019-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Journal of Pediatric Surgery Case Reports |
| spelling | doaj.art-5ef9a901fa484c48a2a06f6658e934a12022-12-22T03:11:02ZengElsevierJournal of Pediatric Surgery Case Reports2213-57662019-04-01431922Dieulafoy lesions causing upper gastrointestinal bleeding in childrenN.Z. Mashavave0T.R. Govender1D.S. Harrison2A.P. Theron3Department of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, University of Witwatersrand, Johannesburg, South Africa; Corresponding author. Paediatric Surgery Department, Room 8, Chris Hani Baragwanath Academic Hospital, Hani Road, Diepkloof, Soweto, South Africa.Department of Paediatric Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of Witwatersrand, Johannesburg, South AfricaDepartment of Paediatric Surgery, Chris Hani Baragwanath Academic Hospital, University of Witwatersrand, Johannesburg, South AfricaDepartment of Paediatric Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of Witwatersrand, Johannesburg, South AfricaSince the description of Dieulafoy lesions, its' definition has broadened and now represents an acute process that occurs in adult and paediatric patients, with intra-gastric and extra-gastric locations. There are also multiple advancements in the non-operative management of such lesions. Prompt diagnosis and management is required for improved outcomes. Management is mainly dependent on the haemodynamic status of the patient and location of the lesion. Endoscopic diagnosis and the multiple endoscopic treatment options now available have made operative intervention less frequent. However, there are no current management guidelines for DLs in the paediatric population. We look at two patients in two Johannesburg tertiary institutions that presented with gastric and duodenal Dieulafoy lesions and the treatment strategies applied. One patient was managed successfully with haemostatic endo-clips. The other patient was initially managed with endoscopic adrenaline injections at four quadrants but later required a partial gastrectomy. Keywords: Dieulafoy lesion, Endoscopy, Paediatric, Upper gastrointestinal bleedinghttp://www.sciencedirect.com/science/article/pii/S2213576618303610 |
| spellingShingle | N.Z. Mashavave T.R. Govender D.S. Harrison A.P. Theron Dieulafoy lesions causing upper gastrointestinal bleeding in children Journal of Pediatric Surgery Case Reports |
| title | Dieulafoy lesions causing upper gastrointestinal bleeding in children |
| title_full | Dieulafoy lesions causing upper gastrointestinal bleeding in children |
| title_fullStr | Dieulafoy lesions causing upper gastrointestinal bleeding in children |
| title_full_unstemmed | Dieulafoy lesions causing upper gastrointestinal bleeding in children |
| title_short | Dieulafoy lesions causing upper gastrointestinal bleeding in children |
| title_sort | dieulafoy lesions causing upper gastrointestinal bleeding in children |
| url | http://www.sciencedirect.com/science/article/pii/S2213576618303610 |
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