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.
Share Button
New comment
Comments
No comments for this article
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.
3. Sakai E, Ohata K, Nakajima A et al. Diagnosis and therapeutic strategies for small bowel vascular lesions. World J Gastroenterol. 2019; 25(22):2720-33.
4. Yılmaz TU, Kozan R. Duodenal and jejunal Dieulafoy's lesions: optimal management. Clin Exp Gastroenterol. 2017; 10:275-83.
5. Lipka S, Rabbanifard R, Kumar A et al. A single-center United States experience with bleeding Dieulafoy lesions of the small bowel: diagnosis and treatment with single-balloon enteroscopy. Endosc Int Open. 2015; 3(4):E339-45.
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.
7. Pérez-Cuadrado Robles E, Bebia Conesa P, Esteban Delgado P et al. Emergency double-balloon enteroscopy combined with real-time viewing of capsule endoscopy: a feasible combined approach in acute overt-obscure gastrointestinal bleeding? Dig Endosc. 2015; 27(3):338-44.
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Letter

Capsule endoscopy diagnosis of gastrointestinal melanoma

DOI: 10.17235/reed.2023.9803/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Digestive Diseases Image

Whipple’s disease – A typical endoscopic finding of a rare disease

DOI: 10.17235/reed.2022.9338/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Digestive Diseases Image

Colonic Kaposi’s sarcoma as the first clinical manifestation of undiagnosed HIV

DOI: 10.17235/reed.2022.8717/2022

Letter

A rare gastrointestinal tumor: primary gastric melanoma

DOI: 10.17235/reed.2022.8715/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Digestive Diseases Image

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Review

Advanced therapy by device-assisted enteroscopy

DOI: 10.17235/reed.2020.6971/2020

Letter

Gastric ulcer due to mucormycosis in a critical patient

DOI: 10.17235/reed.2020.6636/2019

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Case Report

Appendicular bleeding: an excepcional cause of lower hemorrhage

DOI: 10.17235/reed.2015.3828/2015

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Citation tools
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


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 627 visits.
This article has been downloaded 170 times.

Statistics from Dimensions


Statistics from Plum Analytics

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


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology