Endoscopic Treatment of a Gastric Dieulafoy’s Lesion

Sinkeet Simeon Ranketi1, Stephen Louis Burgert1, Robert Parker2

  1. Tenwek Hospital, Bomet

  2. Warren Alpert School of Medicine, Brown University\

Correspondence to: Dr.Sinkeet Ranketi, P.O Box 39, 20400 Bomet, Kenya.

Email: komoisi@yahoo.com

Summary

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

Ann Afr Surg. 2016;13(2): 86-9.

DOI: http://dx.doi.org/10.4314/aas.v13i2.13

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