Dieulafoy's lesion: management and long-term outcome.

Abstract:

BACKGROUND AND STUDY AIMS:Dieulafoy's lesion is usually considered to be a rare cause of gastrointestinal bleeding and little information is available about the long-term follow-up of this condition. We studied the clinical pattern and long-term outcome in patients with Dieulafoy's lesion who were managed in a gastrointestinal intensive care unit. PATIENTS AND METHODS:We reviewed the data on the diagnosis, treatment, and outcome of 70 patients admitted to our unit for acute upper gastrointestinal bleeding due to Dieulafoy's lesion. Endoscopic hemostasis was performed in 69 cases. Patients underwent surgery if endoscopic therapy failed. A phone interview was carried out to assess the long-term clinical outcome. RESULTS:Dieulafoy's lesion accounted for 4 % of cases of upper gastrointestinal bleeding in patients admitted during the period studied. The mean number +/- SD of endoscopies required to establish the diagnosis was 1.4 +/- 0.75. Endoscopic hemostasis was initially successful in 91.3 % of patients, while nearly 16 % of patients required surgery because endoscopic therapy failed. The overall mortality rate was 8.6 %. None of the 52 patients who were followed up by phone reported recurrent bleeding after discharge from hospital, in a mean follow-up period of 69 months. CONCLUSIONS:Dieulafoy's lesion is a not uncommon cause of severe recurrent gastrointestinal bleeding. Endoscopic therapy is safe and effective in achieving permanent hemostasis. The long-term prognosis for Dieulafoy's lesion is excellent, even when patients are treated using endoscopic methods alone.

journal_name

Endoscopy

journal_title

Endoscopy

authors

Romãozinho JM,Pontes JM,Lérias C,Ferreira M,Freitas D

doi

10.1055/s-2004-814322

subject

Has Abstract

pub_date

2004-05-01 00:00:00

pages

416-20

issue

5

eissn

0013-726X

issn

1438-8812

journal_volume

36

pub_type

杂志文章
  • Is esophageal capsule endoscopy feasible? Results of a pilot.

    abstract:BACKGROUND AND STUDY AIMS:Capsule endoscopy (CE) has been shown to be accurate in the evaluation of small-bowel bleeding and possibly also other small-bowel disorders. It is commonly believed that other organs are not suitable for CE. We report here on our experience in studying the distal esophagus using CE under vari...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2003-43488

    authors: Neu B,Wettschureck E,Rösch T

    更新日期:2003-11-01 00:00:00

  • Endoscopic submucosal dissection for early esophageal cancer in elderly patients with relative indications for endoscopic treatment.

    abstract:BACKGROUND:According to the Japanese Esophageal Society (JES) guidelines, early esophageal squamous cell carcinoma (SCC) involving the muscularis mucosae (M3) or upper submucosal (SM1) layers are relative indications for endoscopic submucosal dissection (ESD). Additional esophagectomy or chemoradiotherapy is recommende...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/a-0577-2560

    authors: Qi ZP,Chen T,Li B,Ren Z,Yao LQ,Shi Q,Cai SL,Zhong YS,Zhou PH

    更新日期:2018-09-01 00:00:00

  • Natural history of early esophageal squamous carcinoma and early adenocarcinoma of the gastric cardia in the People's Republic of China.

    abstract::Ninety cases of early esophageal squamous carcinoma (EESC) and 27 patients with early adenocarcinoma of the gastric cardia (EAGC), who for various reasons refused surgical treatment, radiotherapy or chemotherapy, were followed up endoscopically and roentgenologically for 19 to 78 months. Of the 90 cases with EESC, 52 ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018145

    authors: Guanrei Y,Songliang Q,He H,Guizen F

    更新日期:1988-05-01 00:00:00

  • Primary anal melanoma associated with melanosis of the upper gastrointestinal tract.

    abstract::A 49-year old severely ill man, with no digestive complaints, was admitted to our hospital. Abdominal ultrasound was suggestive of hepatic metastases. Endoscopy revealed multiple, flat and polypoid, pigmented lesions in the esophagus, stomach and duodenum. Biopsy showed only melanotic pigment, without malignant cells....

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1001373

    authors: Horowitz M,Nobrega MM

    更新日期:1998-09-01 00:00:00

  • Conservative management of colonoscopic perforation can be misleading.

    abstract::The management of colonoscopic perforations is still evolving. Many now agree to the selective management strategy: Perforations during diagnostic colonoscopy being treated surgically and therapeutic ones treated conservatively. However, patients with diagnostic perforation, if they have clean bowel and no signs of pe...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1001423

    authors: Soliman A,Grundman M

    更新日期:1998-11-01 00:00:00

  • Transendoscopic Doppler ultrasound: usefulness for diagnosis and treatment of vascular malformations.

    abstract::Vascular malformations of the GI tract can be treated by thermal methods, including the YAG laser. The diagnosis of these lesions is not always easy, and it is difficult to evaluate the completeness of therapy of these lesions. We investigated the value of Doppler ultrasound in this respect. The TVD-1 (Key Med) transe...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018146

    authors: Rutgeerts P,Vantrappen G,D'Heygere F,Broeckaert L

    更新日期:1988-05-01 00:00:00

  • Atypical endoscopic features of rectal carcinoids.

    abstract:BACKGROUND AND STUDY AIMS:It is not normally difficult to diagnose carcinoid tumors (well-differentiated endocrine neoplasms) of the rectum endoscopically, as they usually have a characteristic appearance. However, little is known about the atypical endoscopic findings in some rectal carcinoids and the present study wa...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2004-814202

    authors: Shim KN,Yang SK,Myung SJ,Chang HS,Jung SA,Choe JW,Lee YJ,Byeon JS,Lee JH,Jung HY,Hong WS,Kim JH,Min YI,Kim JC,Kim JS

    更新日期:2004-04-01 00:00:00

  • Impact of fluoroscopy on oral double-balloon enteroscopy: results of a randomized trial in 156 patients.

    abstract:BACKGROUND AND STUDY AIMS:The routine utility of fluoroscopy during double-balloon enteroscopy (DBE) via the oral route has been not prospectively evaluated. Up to now, there have been no prospective randomized trials to assess whether fluoroscopy improves outcomes. The aim of this study was to assess the value of fluo...

    journal_title:Endoscopy

    pub_type: 杂志文章,随机对照试验

    doi:10.1055/s-0030-1255727

    authors: Manner H,May A,Pohl J,Färber M,Ell C

    更新日期:2010-10-01 00:00:00

  • Favorable long-term outcomes of endoscopic submucosal dissection for locally recurrent early gastric cancer after endoscopic resection.

    abstract:BACKGROUND AND STUDY AIM:Close observation after noncurative endoscopic resection for early gastric cancer (EGC) is an acceptable option if a positive horizontal margin or piecemeal resection of differentiated-type adenocarcinoma is the only noncurative factor. When locally recurrent EGC is subsequently detected, endos...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0033-1344332

    authors: Sekiguchi M,Suzuki H,Oda I,Abe S,Nonaka S,Yoshinaga S,Taniguchi H,Sekine S,Kushima R,Saito Y

    更新日期:2013-09-01 00:00:00

  • Biliary manometry in swine: a unique endoscopic model for teaching and research.

    abstract::Biliary manometry, the "gold standard" for the diagnosis of sphincter of Oddi dysfunction, is associated with technical and methodological problems. The lack of a suitable experimental model has hindered efforts to solve these problems. We report here on the first practical animal model for endoscopic biliary manometr...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005636

    authors: Pasricha PJ,Tietjen TG,Kalloo AN

    更新日期:1995-01-01 00:00:00

  • Feasibility and safety of endoscopic evaluation of gastric emptying.

    abstract:BACKGROUND AND STUDY AIMS:Scintigraphy is the currently accepted method for evaluation of gastric emptying. Although quantitative, this method is complicated, time-consuming, and costly. If a simple endoscopic technique was available for those instances when quantification of an emptying abnormality is not needed, the ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2004-826196

    authors: Attila T,Hellman RS,Krasnow AZ,Hofmann CL,Saeian K,Dua KS,Binion DG,Shaker R

    更新日期:2005-03-01 00:00:00

  • Endoscopic surveillance for gastric remnant cancer after early cancer surgery.

    abstract:BACKGROUND AND STUDY AIMS:The aims of this article were to clarify the incidence of gastric remnant cancer after surgery for early gastric cancer, and to develop surveillance programs for patients who have undergone partial gastrectomy in order to detect such lesions at an early stage. PATIENTS AND METHODS:A total of ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2002-32007

    authors: Hosokawa O,Kaizaki Y,Watanabe K,Hattori M,Douden K,Hayashi H,Maeda S

    更新日期:2002-06-01 00:00:00

  • Pseudomelanosis duodeni: associated with multiple clinical conditions and unpredictable iron stainability - a case series.

    abstract::Pseudomelanosis duodeni is seen endoscopically as dark spots in the duodenal mucosa and is generally considered to be local deposition of iron from oral iron intake. However, pseudomelanosis duodeni may be identified histologically even before it becomes endoscopically evident; iron stainability within the mucosa is u...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-995472

    authors: Giusto D,Jakate S

    更新日期:2008-02-01 00:00:00

  • Endoscopic closure of large colonic perforations using an over-the-scope clip: a randomized controlled porcine study.

    abstract:BACKGROUND AND STUDY AIMS:Perforation of the colon is considered to be one of the most serious complications of flexible endoscopy. The over-the-scope clip system (OTSC) has previously been shown to close small colonic perforations effectively. The aim of this randomized controlled porcine study was to compare acute cl...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0029-1214759

    authors: von Renteln D,Schmidt A,Vassiliou MC,Rudolph HU,Gieselmann M,Caca K

    更新日期:2009-06-01 00:00:00

  • Development, standardization, and evaluation of NOTES cholecystectomy using a transsigmoid approach in the porcine model: an acute feasibility study.

    abstract:BACKGROUND:Transluminal cholecystectomy is feasible. However, the procedure is time consuming, difficult, and poorly standardized so far. In the present study we therefore aimed to further evaluate and optimize a transsigmoid approach for cholecystectomy with minimal transabdominal assistance in the porcine model. MET...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-966904

    authors: Meining A,Wilhelm D,Burian M,Dundoulakis M,Schneider A,von Delius S,Feussner H

    更新日期:2007-10-01 00:00:00

  • A new endoscopic simulator.

    abstract::Trainees need to perform a certain number of endoscopic procedures to achieve competence. Training on simulators is advantageous because it reduces the number of potentially life-threatening critical mistakes. The change in medical practice that limits education time and patient availability, and the increase in medic...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2000-8088

    authors: Bar-Meir S

    更新日期:2000-11-01 00:00:00

  • Dieulafoy's ulcer: combined endoscopic and laparoscopic treatment.

    abstract::Dieulafoy's disease is a rare, but dangerous cause of upper gastrointestinal hemorrhage. We report here the case of a patient in whom the failure of endoscopic therapy necessitated a surgical approach by combining endoscopy and laparoscopy. The intraoperative endoscopic examination located the site of the lesion preci...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1005488

    authors: Bouillot JL,Aubertin JM,Fornes P,Petite JP,Alexandre JH

    更新日期:1996-05-01 00:00:00

  • Percutaneous endoscopic gastrostomy in patients with head and neck cancer.

    abstract::A percutaneous endoscopic gastrostomy (PEG) was performed in 19 patients with cancers of head or neck. A commercially available gastrostomy set was used, but slight modifications were necessary in 4 patients. No serious complications were observed. The correct position and lack of any leak of gastric contents was veri...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018358

    authors: Ruppin H,Lux G

    更新日期:1986-07-01 00:00:00

  • Diagnosis of recurrent rectal cancer deep into the vaginal wall by transvaginal endoscopic ultrasound-guided fine needle aspiration.

    abstract::Local recurrent rectal cancer may present with extraluminal lesions. Endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) is good for diagnosis of such an extraluminal lesion. A 51-year-old Asian female was diagnosed with uT3N0M0 rectal adenocarcinoma 31 months ago. She had undergone chemotherapy, radiotherap...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2008-1077468

    authors: Kongkam P,LeBlanc JK

    更新日期:2008-10-01 00:00:00

  • Transcolonoscopic extraperitoneal cecostomy. A new therapeutic and technical proposal.

    abstract::The authors propose a new technique of decompression of the colon consisting in percutaneous cecostomy with previous extraperitonization of the cecum under colonoscopic orientation. The technique permits decompression of the entire colon through the insertion of a ceco-anal multiperforated Levine tube on withdrawing t...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1018203

    authors: Ganc AJ,Netto AJ,Morrell AC,Plapler H,Ardengh JC

    更新日期:1988-11-01 00:00:00

  • Is ERCP a reasonable diagnostic method for excluding pancreatic and hepatobiliary disease in patients with a Billroth II resection?

    abstract::ERCP was performed in 57 patients who had undergone Billroth II resection. Cannulation of the papilla of Vater was successfully accomplished in 31 cases (55%). The success rate of ERCP was clearly dependent on the type of Billroth II resection presenting. ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021476

    authors: Thon HJ,Löffler A,Buess G,Gheorghiu T

    更新日期:1983-05-01 00:00:00

  • Endoscopic treatment of nonstricture-related benign biliary diseases using covered self-expandable metal stents.

    abstract:BACKGROUND AND STUDY AIMS:Nonstricture benign biliary diseases (BBDs) such as leaks, perforations, and bleeding, have been traditionally managed by placement of one or more plastic stents. Emerging data support the use of covered, self-expandable, metal stents (CSEMSs). The aim of this study was to assess the outcomes ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1391093

    authors: Irani S,Baron TH,Law R,Akbar A,Ross AS,Gluck M,Gan I,Kozarek RA

    更新日期:2015-04-01 00:00:00

  • Prospective study of the effectiveness of percutaneous transhepatic photodynamic therapy for advanced bile duct cancer and the role of intraductal ultrasonography in response assessment.

    abstract:BACKGROUND AND STUDY AIMS:We evaluated the therapeutic effects of percutaneous transhepatic photodynamic therapy (PDT) in patients with advanced bile duct cancer. The utility of intraductal ultrasonography (IDUS) for the assessment of responses and for regular follow up after PDT was also examined. METHODS:Percutaneou...

    journal_title:Endoscopy

    pub_type: 临床试验,杂志文章

    doi:10.1055/s-2005-861294

    authors: Shim CS,Cheon YK,Cha SW,Bhandari S,Moon JH,Cho YD,Kim YS,Lee LS,Lee MS,Kim BS

    更新日期:2005-05-01 00:00:00

  • Morphological changes in the terminal oesophagus with varices, following sclerosis of the wall.

    abstract::Autopsies were performed on 53 patients with oesophageal varices treated with ethoxysclerol to effect sclerosis of the terminal oesophageal wall. The morphological changes after perivascular injection, disturbance of wound healing and complications are described. In 20 cases it was possible to follow the various stage...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1021692

    authors: Helpap B,Bollweg L

    更新日期:1981-11-01 00:00:00

  • Added value of narrow band imaging and confocal laser endomicroscopy in detecting Barrett's esophagus neoplasia.

    abstract:BACKGROUND AND STUDY AIMS:Advances in endoscopic imaging techniques have enabled more accurate identification of subtle mucosal abnormalities. The aim of the study was to assess the accuracy of predicting high grade dysplasia (HGD) and intramucosal cancer (IMC) in mucosa predicted as being nondysplastic vs. dysplastic ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0032-1325734

    authors: Jayasekera C,Taylor AC,Desmond PV,Macrae F,Williams R

    更新日期:2012-12-01 00:00:00

  • Gastrointestinal fiberoptic endoscopy in pediatric patients and juveniles.

    abstract::Over a period of 8 years 351 upper gastrointestinal endoscopies and 72 coloscopies were performed in infants, children and juvenile patients. Development of special pediatric instruments provides increasing application even to the youngest patients. Fiberendoscopy is a safe and sensitive diagnostic tool also in the pe...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0028-1098284

    authors: Lux G,Rösch W,Phillip J,Frühmorgen P

    更新日期:1978-08-01 00:00:00

  • Endoscopic placement of expandable metal stents for biliary strictures--a preliminary report on experience with 33 patients.

    abstract::The main problem with palliative treatment of extrahepatic cholestasis with an endoscopic biliary endoprosthesis is clogging. One of the factors thought to be of importance is the diameter of the stent. In order to avoid being limited by the size of the instrumentation channel of the endoscope, expandable stents have ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1012969

    authors: Huibregtse K,Cheng J,Coene PP,Fockens P,Tytgat GN

    更新日期:1989-11-01 00:00:00

  • Non-biopsy detection of intestinal metaplasia and dysplasia in Barrett's esophagus: a prospective multicenter study.

    abstract:BACKGROUND AND STUDY AIMS:There have been no multicenter studies investigating the use of magnification chromoendoscopy (MCE) for the detection of intestinal metaplasia and dysplasia/cancer in Barrett's esophagus. Our aims were to assess the ability of MCE to predict the histological diagnosis (non-biopsy detection), t...

    journal_title:Endoscopy

    pub_type: 杂志文章,多中心研究

    doi:10.1055/s-2006-944974

    authors: Sharma P,Marcon N,Wani S,Bansal A,Mathur S,Sampliner R,Lightdale C

    更新日期:2006-12-01 00:00:00

  • Clinical outcome of endoscopic resection for nonampullary duodenal tumors.

    abstract:BACKGROUND AND STUDY AIMS:Compared with any other location in the gastrointestinal tract, the duodenum presents the most challenging site for endoscopic resection. The aim of this study was to analyze the clinical outcomes of duodenal endoscopic resection and to assess the feasibility of the technique as a therapeutic ...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-0034-1390774

    authors: Nonaka S,Oda I,Tada K,Mori G,Sato Y,Abe S,Suzuki H,Yoshinaga S,Nakajima T,Matsuda T,Taniguchi H,Saito Y,Maetani I

    更新日期:2015-02-01 00:00:00

  • Limitations of intraductal ultrasonography in differentiating between bile duct cancer in stage T1 and stage T2: in-vitro and in-vivo studies.

    abstract:BACKGROUND AND STUDY AIMS:We investigated whether intraductal ultrasonography (IDUS) could distinguish between stage T1 and T2 bile duct cancer. MATERIALS AND METHODS:In-vitro study. Resected bile duct specimens (n = 8) were immersed in a water tank and were pierced with straight pins to clarify the normal layer struc...

    journal_title:Endoscopy

    pub_type: 杂志文章

    doi:10.1055/s-2007-1004296

    authors: Tamada K,Kanai N,Ueno N,Ichiyama M,Tomiyama T,Wada S,Oohashi A,Nishizono T,Tano S,Aizawa T,Ido K,Kimura K

    更新日期:1997-10-01 00:00:00