Management of Dieulafoy’s Lesions

Victoria Bendersky, Alexander Perez

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Dieulafoy’s lesion is a difficult-to-diagnose, potentially life-threatening gastrointestinal bleeding condition. It is a vascular abnormality that consists of a large caliber-persistent tortuous artery with no apparent pathology but a small mucosal defect that resulted in eruption. The cause of the actual rupture is not clearly understood. The diagnostic modality of choice is endoscopy, primarily for its concomitant treatment possibilities. There is no general consensus on treatment of Dieulafoy’s lesion, but, as in diagnosis, endoscopy emerged as the preferred mode for management. Endoscopic treatments are organized into three groups’injection, mechanical, thermal; combined treatments are preferred to monotherapy as the success rate is higher. Due to recent advances in interventional radiology, angiography became the second choice of treatment for Dieulafoy’s lesion. Although in the past surgery was common in management of this condition, its role has been reduced for only the cases that failed under the first two modalities.

Original languageEnglish (US)
Title of host publicationGastrointestinal Bleeding
Subtitle of host publicationA Practical Approach to Diagnosis and Management, Second Edition
PublisherSpringer International Publishing
Pages41-50
Number of pages10
ISBN (Electronic)9783319406466
ISBN (Print)9783319406442
DOIs
StatePublished - Jan 1 2016
Externally publishedYes

Keywords

  • Caliber-persistent artery
  • Dieulafoy’s lesion
  • Exulceratio simplex
  • Gastrointestinal hemorrhage

ASJC Scopus subject areas

  • Medicine(all)

Fingerprint Dive into the research topics of 'Management of Dieulafoy’s Lesions'. Together they form a unique fingerprint.

  • Cite this

    Bendersky, V., & Perez, A. (2016). Management of Dieulafoy’s Lesions. In Gastrointestinal Bleeding: A Practical Approach to Diagnosis and Management, Second Edition (pp. 41-50). Springer International Publishing. https://doi.org/10.1007/978-3-319-40646-6_4