Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature)
The article is devoted to Dieulafoy syndrome, a rare pathology that manifests itself by intense bleeding from a defect of abnormally dilated vessels of the submucosal layer of the stomach. The article discusses the main methods of diagnosis, treatment and prevention of Dieulafoy syndrome, lists the...
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | Russian |
| Published: |
Pavlov First Saint Petersburg State Medical University
2022-05-01
|
| Series: | Вестник хирургии имени И.И. Грекова |
| Subjects: | |
| Online Access: | https://www.vestnik-grekova.ru/jour/article/view/1861 |
| _version_ | 1797877542825230336 |
|---|---|
| author | D. G. Amarantov M. F. Zarivchatskiy E. S. Aliyeva E. B. Orevkov V. N. Pavlova O. S. Gudkov A. V. Strinkevich |
| author_facet | D. G. Amarantov M. F. Zarivchatskiy E. S. Aliyeva E. B. Orevkov V. N. Pavlova O. S. Gudkov A. V. Strinkevich |
| author_sort | D. G. Amarantov |
| collection | DOAJ |
| description | The article is devoted to Dieulafoy syndrome, a rare pathology that manifests itself by intense bleeding from a defect of abnormally dilated vessels of the submucosal layer of the stomach. The article discusses the main methods of diagnosis, treatment and prevention of Dieulafoy syndrome, lists the synonyms of «Dieulafoy syndrome». A brief historical reference is given. The definition of the concept of «Dieulafoy syndrome» is given. The age and gender prevalence of this syndrome is analyzed. Variants of localization of the lesion in this syndrome are described. The main causes and risk factors for the occurrence of Dieulafoy syndrome are highlighted. The most common clinical manifestations are characterized. The advantages and disadvantages of various methods of diagnosis of Dieulafoy syndrome are described. Special attention is paid to the diagnosis and criteria for endoscopic verification of this syndrome. Various methods of treatment have been investigated: conservative, endoscopic and operative. The indications and contraindications to each of the treatment methods are described, as well as their advantages and disadvantages. Possible combinations of various methods of endoscopic hemostasis are listed. The question of choosing the optimal combination of different methods of endoscopic hemostasis is highlighted. Risk factors for recurrence of bleeding have been determined. The frequency of recurrence of bleeding in Dieulafoy syndrome was analyzed. A number of unresolved issues related to the diagnosis and treatment of this syndrome have been identified, such as issues of effective prevention and prediction of recurrent bleeding. |
| first_indexed | 2024-04-10T02:18:53Z |
| format | Article |
| id | doaj.art-d3295d7de0454d549e55f9fa2358d29f |
| institution | Directory Open Access Journal |
| issn | 0042-4625 |
| language | Russian |
| last_indexed | 2024-04-10T02:18:53Z |
| publishDate | 2022-05-01 |
| publisher | Pavlov First Saint Petersburg State Medical University |
| record_format | Article |
| series | Вестник хирургии имени И.И. Грекова |
| spelling | doaj.art-d3295d7de0454d549e55f9fa2358d29f2023-03-13T08:09:21ZrusPavlov First Saint Petersburg State Medical UniversityВестник хирургии имени И.И. Грекова0042-46252022-05-01180611111610.24884/0042-4625-2021-180-6-111-1161336Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature)D. G. Amarantov0M. F. Zarivchatskiy1E. S. Aliyeva2E. B. Orevkov3V. N. Pavlova4O. S. Gudkov5A. V. Strinkevich6Perm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerPerm State Medical University named after academician E.A. WagnerThe article is devoted to Dieulafoy syndrome, a rare pathology that manifests itself by intense bleeding from a defect of abnormally dilated vessels of the submucosal layer of the stomach. The article discusses the main methods of diagnosis, treatment and prevention of Dieulafoy syndrome, lists the synonyms of «Dieulafoy syndrome». A brief historical reference is given. The definition of the concept of «Dieulafoy syndrome» is given. The age and gender prevalence of this syndrome is analyzed. Variants of localization of the lesion in this syndrome are described. The main causes and risk factors for the occurrence of Dieulafoy syndrome are highlighted. The most common clinical manifestations are characterized. The advantages and disadvantages of various methods of diagnosis of Dieulafoy syndrome are described. Special attention is paid to the diagnosis and criteria for endoscopic verification of this syndrome. Various methods of treatment have been investigated: conservative, endoscopic and operative. The indications and contraindications to each of the treatment methods are described, as well as their advantages and disadvantages. Possible combinations of various methods of endoscopic hemostasis are listed. The question of choosing the optimal combination of different methods of endoscopic hemostasis is highlighted. Risk factors for recurrence of bleeding have been determined. The frequency of recurrence of bleeding in Dieulafoy syndrome was analyzed. A number of unresolved issues related to the diagnosis and treatment of this syndrome have been identified, such as issues of effective prevention and prediction of recurrent bleeding.https://www.vestnik-grekova.ru/jour/article/view/1861dieulafoy syndromegastric bleedingrecurrent bleedingesophagogastroduodenoscopyendoscopic hemostasis |
| spellingShingle | D. G. Amarantov M. F. Zarivchatskiy E. S. Aliyeva E. B. Orevkov V. N. Pavlova O. S. Gudkov A. V. Strinkevich Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) Вестник хирургии имени И.И. Грекова dieulafoy syndrome gastric bleeding recurrent bleeding esophagogastroduodenoscopy endoscopic hemostasis |
| title | Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) |
| title_full | Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) |
| title_fullStr | Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) |
| title_full_unstemmed | Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) |
| title_short | Current views on the etiology, pathogenesis, diagnosis and treatment of Dieulafoy syndrome (review of literature) |
| title_sort | current views on the etiology pathogenesis diagnosis and treatment of dieulafoy syndrome review of literature |
| topic | dieulafoy syndrome gastric bleeding recurrent bleeding esophagogastroduodenoscopy endoscopic hemostasis |
| url | https://www.vestnik-grekova.ru/jour/article/view/1861 |
| work_keys_str_mv | AT dgamarantov currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT mfzarivchatskiy currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT esaliyeva currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT eborevkov currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT vnpavlova currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT osgudkov currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature AT avstrinkevich currentviewsontheetiologypathogenesisdiagnosisandtreatmentofdieulafoysyndromereviewofliterature |