Year 2020 / Volume 112 / Number 4
Original
Recurrent small-bowel bleeding from a Dieulafoy’s lesion after combined endoscopic treatment

269-272

DOI: 10.17235/reed.2020.6899/2020

Alejandro Pérez Fernández, José María Rubio Mateos, María Josefa Sánchez Fernández, José Manuel Molina Muñoz, Silvia Chacón Martínez, José Luís Rodrigo Agudo, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Martínez, Enrique Pérez-Cuadrado Robles,

Abstract
Introduction: Dieulafoy’s lesion of the small bowel is an uncommon cause of gastrointestinal (GI) bleeding that often recurs after endoscopic treatment. Material and methods: we report an observational, descriptive, retrospective, single-center study in 15 patients with small bowel bleeding who were diagnosed with a Dieulafoy’s lesion by capsule endoscopy or double-balloon enteroscopy. Results and conclusions: all patients underwent combined endoscopic treatment. During a median follow-up of 33.5 months (range, 2-145), three of the 12 cases that stayed in follow-up (25 %) recurred, all within 48 hours after treatment. Two were successfully re-treated with a repeat endoscopic procedure.
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References
1. Dulic-Lakovic E, Dulic M, Hubner D et al. Austrian Dieulafoy-bleeding Study Group. Bleeding Dieulafoy lesions of the small bowel: a systematic study on the epidemiology and efficacy of enteroscopic treatment. Gastrointest Endosc. 2011; 74(3):573-80.
2. Shi L, Chu Y, Zhu H. Successful endoscopic diagnosis and treatment of a Dieulafoy lesion in a large periampullary diverticulum. Rev Esp Enferm Dig. 2019; 111:0.
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6. Pérez-Cuadrado E, Esteban P, Martínez B et al. Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center. Rev Esp Enferm Dig. 2015;107:495-500.
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Pérez Fernández A, Rubio Mateos J, Sánchez Fernández M, Molina Muñoz J, Chacón Martínez S, Rodrigo Agudo J, et all. Recurrent small-bowel bleeding from a Dieulafoy’s lesion after combined endoscopic treatment. 6899/2020


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Publication history

Received: 22/01/2020

Accepted: 11/02/2020

Online First: 20/03/2020

Published: 07/04/2020

Article revision time: 14 days

Article Online First time: 58 days

Article editing time: 76 days


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