Year 2024 / Volume 116 / Number 12
Letter
Jejunal Dieulafoy’s lesion as a cause of difficult-to-manage obscure gastrointestinal bleeding. Combined endoscopic treatment

709

DOI: 10.17235/reed.2024.10176/2023

Víctor Blázquez Ávila, Jesús Espinel Diez, Marcos Jiménez Palacios,

Abstract
Dieulafoy’s lesion (DL) is an uncommon vascular malformation—an aberrant, dilated submucosal arteriole (1-3 mm thick, 10 x nv). It runs near the mucosal surface and protrudes, and may potentially induce gastrointestinal bleeding (GIB). It usually originates in the stomach (upper lesser curvature), with endoscopy being the diagnostic, therapeutic modality of choice. Jejunal DL (JDL) is a rare cause of obscure GIB (OGIB) that is challenging for endoscopists and threatens patient lives. Other diagnostic techniques such as Tc99m-labeled red blood cell scintigraphy, well established in the classic armamentarium for OGIB diagnosis, cannot overcome endoscopic procedures. We report the case of a patient with OGIB secondary to an exceptionally located Dieulafoy’s lesion who underwent combined endoscopic treatment.
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References
- Yılmaz, T. U., & Kozan, R. (2017). Duodenal and jejunal Dieulafoy's lesions: optimal management. Clinical and experimental gastroenterology, 10, 275–283. https://doi.org/10.2147/CEG.S122784
- Baxter, M., & Aly, E. H. (2010). Dieulafoy's lesion: current trends in diagnosis and management. Annals of the Royal College of Surgeons of England, 92(7), 548–554. https://doi.org/10.1308/003588410X12699663905311
Mascarenhas Saraiva M, Ribeiro T, Andrade P, Cardoso H, Macedo G. Capsule enteroscopy versus radionuclide scintigraphy for the diagnosis of obscure gastrointestinal bleeding. Rev Esp Enferm Dig. 2022;114:208-212.
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Blázquez Ávila V, Espinel Diez J, Jiménez Palacios M. Jejunal Dieulafoy’s lesion as a cause of difficult-to-manage obscure gastrointestinal bleeding. Combined endoscopic treatment . 10176/2023


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Publication history

Received: 15/12/2023

Accepted: 18/12/2023

Online First: 18/01/2024

Published: 13/12/2024

Article Online First time: 34 days

Article editing time: 364 days


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