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KMID : 0359019940140030357
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Korean Journal of Gastrointestinal Endoscopy
1994 Volume.14 No. 3 p.357 ~ p.364
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Endoscopic "O" Band Ligation Treatment for 3 Cases with Dieulafoy Lesion
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조병석
박병수/안진형/고정희/최우석/박강서/박성규/최덕례/최호순
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Abstract
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Dieulafoy lesion is very small and easily overlooked as a course of massive, often recurrent hemorrhage that results from the crosion of a submucosal artery, typically in the gastric car dia or fundus.
The clinical picture of Dieulafoy lesion is quite uniform: patients commonly present with massive hemorrhage and melena without any relevant history. The diagnostic procedure of choice in patients with severe gastrointestinal bleeding is
emergency
endoscopy. The lesion is rare but potentially life threatening source of upper gastrointestinal bleeding. Before the endoscopic era, the prognosis for patients with these lesions was quite poor. However, recent reports have described the success
of
endoscopic therapy in the management of Dieulafoy lesion.
We performed emergency endoscopy in 3 patients who had massive or recurrent episode of upper gastrointestinal bleeding, identified to the Dieulafoy lesion. We tried to Endoscopic "0band ligation, successfully in hemostasis and prevention of
recurrence.
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