Corpus ID: 59208597

A Case of Endoscopic Hemoclip Management of Dieulafoy-like Lesion on the Hyperplastic Polyp in the Duodenum

@inproceedings{Park2007ACO,
  title={A Case of Endoscopic Hemoclip Management of Dieulafoy-like Lesion on the Hyperplastic Polyp in the Duodenum},
  author={Nam-Seon Park and J. Song and Eunbin Lee and Byung-Kook Kang and Dae-Ho Jin and T. Ahn and Y. Han and Hyung-Suk Lee},
  year={2007}
}
Dieulafoy's lesion (DL) is an uncommon but important cause of massive upper gastrointestinal bleeding that has been reported to be involved in 0.3∼6.7% of cases of major gastrointestinal bleeding. The lesion usually occurs in the lesser curvature of the stomach within 6 cm of the gastroesophageal junction. Similar lesions have also been observed in the esophagus, duodenum, small intestine, colon, and rectum. Most DLs encountered in the duodenum occur in the bulb. Recently, with the advances in… Expand

References

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TLDR
Two cases of massive upper gastro-intestinal bleeding in young adults due to Dieulafoy's lesion of the duodenum are reported and endoscopic diagnosis was possible in both cases and Hemostasis was achieved successfully by endoscopic adrenaline injection. Expand
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TLDR
Endoscopic band ligation is an effective and safe endoscopic treatment for Dieulafoy-like lesions in the upper gastrointestinal tract and it is easy to use and relatively inexpensive. Expand
Dieulafoy Lesion: Endoscopic and Surgical Management
TLDR
Endoscopy became the procedure of choice for diagnosis and treatment of this disease, and initial hemostatic approaches employed were: alcoholization, epinephrine associated with alcohol injection, sclerosis, sclerosis in 7 cases and surgery in 1 case. Expand
The usefulness of endoscopic hemoclipping for bleeding Dieulafoy lesions.
TLDR
Hemoclipping was more effective for Dieulafoy lesion than epinephrine injection therapy, with less need for subsequent endoscopy, which was well controlled by therapeutic endoscopic procedures. Expand
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TLDR
Endoscopic rubber band ligation is as effective as injection with or without thermal therapy in the treatment of Dieulafoy's lesion. Expand
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TLDR
The endoscopically-identified Dieulafoy lesion of the small bowel and colon is infrequently encountered and the endoscopic diagnosis requires an aggressive approach, including repeated endoscopy. Expand
A prospective, randomized trial of endoscopic band ligation versus endoscopic hemoclip placement for bleeding gastric Dieulafoy's lesions.
TLDR
In this small study, no differences were detected in the efficacy or the safety of EBL vs. EHP in the management of bleeding gastric Dieulafoy's lesions. Expand
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TLDR
Bleeding from Dieulafoy's lesions can be managed successfully by endoscopic methods, which should be regarded as the first choice. Expand
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TLDR
Gastroenterologists should be aware that hyperplastic polyps of the gastric antrum might result in gastrointestinal blood loss and iron deficiency anemia, and be aware of the need for removal of the polyps using endoscopic or surgical methods. Expand
Bleeding Dieulafoy's lesions and the choice of endoscopic method: comparing the hemostatic efficacy of mechanical and injection methods.
TLDR
Higher efficacy in terms of initial hemostasis and less recurrent bleeding was achieved by mechanical hemostatic therapy with hemoclip and band ligation compared with injection therapy and endoscopic mechanical therapy is recommended as effective for bleeding Dieulafoy's lesions. Expand
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