Abstract :
We present four cases of duodenal Dieulafoy’s lesion from our practicing in gastrointestinal endoscopy
since 1994. It also includes review published English literature of duodenal Dieulafoy’s lesion by searching from PubMed and references list of relevant major articles. The diagnosis of the reported cases base on the endoscopic visual criteria, three cases under went successful endoscopic treatment. One underwent oversew ligation after
failed therapeutic endoscopy . Forty nine cases of duodenal Dieulafoy’s lesion have been reported in English
literature since 1988. Endoscopy is one of the essential procedures for diagnosis but multiple endoscopic sessions are usually required. Scintigraphy and angiography are valuable after endoscopy failed to identify the bleeding lesion. Endoscopic treatment provided a high successful rate of permanent hemostasis with minimal procedure related morbidity and mortality. Causes of death mostly resulted from comorbidity of these eldery patients.
Key words : Duodenal, Dieulafoy’s
[Thai J Gastroenterol 2004; 5(1):67-75]
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file/Thai-Journal-of-gastroenterology-vol-5-no-1-4256454.pdf