Dieulafoy's lesion treated with argon plasma coagulation and injection sclerotherapy: A rare case report

Year 2014, , - , 01.04.2014

Şehmus Ölmez Bünyamin Sarıtaş Mehmet Aslan Ahmet Cumhur Dülger İbrahim Aydın

https://doi.org/10.17940/endoskopi.74793

Abstract

Dieulafoy's lesion is an uncommon, but important, cause of upper gastrointestinal bleeding. Dieulafoy's lesion is usually seen in the stomach, but sometimes can be seen in the small or large bowel. Typically, it is located within 6 cm of the esophagogastric junction, generally along the lesser curvature of the stomach. Various methods with endoscopy are used to control the hemostasis due to these lesions, but the most suitable endoscopic treatment method for treating bleeding Dieulafoy's lesion is not yet well established. Argon plasma coagulation has been used successfully in upper gastrointestinal bleeding; however, the experience using argon plasma coagulation to treat Dieulafoy's lesion is quite limited. Herein, we report a case with a bleeding gastric Dieulafoy's lesion that was treated using a combined endoscopic approach with injection therapy and argon plasma coagulation

Keywords

Dieulafoy lesion, gastrointestinal bleeding, argon plasma coagulation, treatment

Dieulofaloy lezyonunun kombine tedavisi: Olgu sunumu

Abstract

Dieulafoy lezyonu nadir görülen ancak önemli bir üst gastrointestinal kanama nedenidir. Sıklıkla midede görülmekle birlikte ince ve kalın bağırsaklarda da görülebilir. Tipik olarak gastroözofageal bileşkeden sonraki 6 cm içinde, küçük kurvatur yönünde yerleşir. Bu lezyonlara bağlı kanamada, hemostazı sağlamak için değişik endoskopik yöntemler kullanılır ve kanayan Dieulafoy lezyonu tedavisi için en uygun endoskopik tedavi yöntemi henüz iyi tanımlanmamıştır. Argon plazma koagülasyonu üst gastrointestinal kanamada başarılı bir şekilde kullanılmasına rağmen Dieulafoy lezyonuna bağlı kanamalarda kullanımı sınırlıdır. Burada enjeksiyon tedavisi ve argon plazma koagülasyonu ile kombine olarak tedavi edilen, kanayan gastrik Dieulafoy lezyonu olan olguyu sunacağız.

Keywords

Dieulafoy lezyonu, gastrointestinal kanama, argon plazma koagülasyonu, tedavi

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