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Annals of African Surgery

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Endoscopic Treatment of a Gastric Dieulafoy’s Lesion

Sinkeet Simeon Ranketi, Stephen Louis Burgert, Robert Parker

Abstract


Gastrointestinal (GI) bleeding is associated with significant mortality and a prompt search and treatment of the etiology is important. Upper GI endoscopy is the gold standard for diagnosis and treatment after initial resuscitation of the patient. In a majority of cases, the cause will be easily identified during endoscopy. Dieulafoy’s lesion, a caliber persistent artery in the submucosa, is a rare but important cause of intermittent painless massive GI bleeding. Due to its intermittent nature, it can easily be missed and often requires multiple endoscopic evaluations. We present a case of one such patient with subsequent endoscopic findings and successful treatment along with a review of the literature.

Keywords: Endoscopy; Hematemesis; Dieulafoy’s lesion; Stomach




http://dx.doi.org/10.4314/aas.v13i2.13
AJOL African Journals Online