Mini-loop ligation of a bleeding duodenal Dieulafoy's lesion

Gomerčić Palčić, Marija and Ljubičić, Neven (2013) Mini-loop ligation of a bleeding duodenal Dieulafoy's lesion. World Journal of Gastroenterology, 19 (22). pp. 3505-3507. ISSN 1007-9327

Preview

PDF - Published Version
Download (773kB) | Preview

Official URL: https://doi.org/10.3748/wjg.v19.i22.3505

Abstract

Two percent of gastrointestinal hemorrhages are caused by Dieulafoy's lesions, which are located in duodenum in only 15% of cases. There are no recommendations regarding the prime endoscopic treatment technique for this condition. A 61-year-old woman presented with melena without signs of hemodynamic instability. During an urgent upper endoscopy, blood oozing from the normal mucosa of the duodenum was seen and this was classified as a Dieulafoy's lesion. A mini-loop was opened at the rim of a transparent ligation chamber, at the end of the endoscope, and after aspiration of the lesion, closed and detached. Complete hemostasis was achieved without early or postponed complications. In every day clinical practice, mini-loop ligation is rarely used because of possible complications, such as site ulceration, organ perforation, re-bleeding and possible inexperience of the operator. To the best of our knowledge this is the first case of successful treatment of bleeding duodenal Dieulafoy's lesion by mini-loop ligation.

Item Type:

Article

Additional Information:

MeSH:

Duodenoscopy ; Duodenum / blood supply ; Duodenum / surgery ; Female ; Gastrointestinal Hemorrhage / diagnosis ; Gastrointestinal Hemorrhage / etiology ; Gastrointestinal Hemorrhage / surgery ; Hemostasis, Endoscopic ; Humans ; Intestinal Mucosa / blood supply ; Intestinal Mucosa / surgery ; Ligation ; Melena / etiology ; Middle Aged ; Treatment Outcome ; Vascular Malformations / complications ; Vascular Malformations / diagnosis ; Vascular Malformations / surgery

Departments:

Katedra za internu medicinu

Depositing User:

Marijan Šember

Status:

Published

Creators: