Baixe no formato ppt, pdf, txt ou leia online no scribd. Endosonography is useful in the detection of dieulafoys disease in patients with unexplained upper gastrointestinal bleeding. Dieulafoy s disease is an uncommon but potentially significant cause of gastrointestinal bleeding caused by a largecaliber arterial vessel in the submucosa, which causes erosion and debilitation of the surrounding mucosa and may lead to massive gastrointestinal bleeding. Therefore, optimal endoscopic treatment of jejunal dl would be to combine thermal therapy and clip application. However, combining endoscopy with such costly, advanced technology is currently not. Dieulafoy ulcer definition of dieulafoy ulcer by medical. The differential diagnosis of submucosal mass with an eroding vessel, forrest iia peptic ulcer, and dieulafoy ulcer was considered.
Fisiopatologia ulcera peptica ulcera peptica estomago. The lesion was named after french surgeon paul georges dieulafoy, who described the condition in a his paper exulceratio simplex. Dieulafoy s lesion is a rare vascular anomaly with potentially fatal gastrointestinal bleeding that constitutes less than 2% of the causes of acute gastrointestinal bleeding. The best technique for endoscopic intervention still remains. Dieulafoys lesions typically present with severe, active, gastrointestinal bleeding, without prior. Management of a dieulafoy ulcer bleed with an overthescope. Mucosal diseases series number vi recurrent aphthous stomatitis s jurge1, r ku. Uppergi endoscopy revealed a visible vessel in the center of a small ulcer over a small submucosal bulge in the anterior wall of the first part of duodenum fig. Extragastric location of dieulafoys lesion is rare. Dieulafoys disease is a rare, but dangerous cause of upper gastrointestinal hemorrhage. Duodenal ulcers are seen 34 times more often than gastric ulcers, and ulcer.
Epidemiologia, patogenia, diagnostico y conceptos generales sobre tratamiento etiopatogenia. Please use one of the following formats to cite this article in your essay, paper or report. The most common symptom of a peptic ulcer is abdominal pain. Endoscopic therapy using different methods is the treatment of choice, having to resort to surgery in rare cases. Dieulafoy believed incorrectly the bleeding from this lesion was due to erosions of the mucosa in the stomach. V inducida por farmacos 90% dolor abdominal, no irradiado, urente, localizado en epigastrio. The administration of conscious sedation has been usually gastroenterologistdirected. One was then diagnosed with a duodenal ulcer and one with recurrent bleeding from the dieulafoys lesion. However, there was a significantly lower proportion of peptic ulcers with highrisk.
Dieulafoys lesions do not usually cause upper gastrointestinal bleeding, but they are one of the most. A dieulafoys lesion is defined as a dilated, aberrant, submucosal artery that erodes overlying mucosa in the absence of an underlying ulcer, aneurysm or intrinsic mural abnormality. The dieulafoy lesion is a vascular anomalie generally located in proximal stomach. The findings from 480 patients who had emergency endoscopy for acute upper gastrointestinal bleeding of nonvariceal origin at our institution were analysed. Combining epinephrine injections with human thrombin 600 iu reduces the risk of bleeding. Gastroduodenal peptic ulcer and helicobacter pylori infection. Background duodenal dieulafoys lesion dl is a rare disease that may lead to lethal hemorrhage in the upper gastrointestinal tract. Helicobacter pylori infection in children and adolescents ulcera poptica gastroduodenal e infecc. For highrisk ulcers forrest iiia, the authors of this article.
A read is counted each time someone views a publication summary such as the title, abstract, and list of authors, clicks on a figure, or views or downloads the fulltext. We report a case of haemorrhagic shock due to delafoy ulcer of the duodenum. Pdf upper gastrointestinal bleeding due to dieulafoy. Gastrointestinal bleeding in patients receiving antiplatelet and. Bouillot jl1, aubertin jm, fornes p, petite jp, alexandre jh. Dieulafoys lesion was first described in 1884 by m. Treatment nearly all peptic ulcers will be treated with a proton pump inhibitor ppi like omeprazole, lansoprazole, pantoprazole, rabeprazole, esomeprazole, dexlansoprazole and h2 blockers like ranitidine, cimetidine, famotidine and nizatidine. Aug 23, 2018 please use one of the following formats to cite this article in your essay, paper or report. Thus, we prefer to combine heater probe therapy with a. Download as ppt, pdf, txt or read online from scribd. Dieulafoy s vascular malformation gi disease a vascular malformation of the stomach which may present as a bleeding ulcer. Peptic ulcer bleeding pub is the most common source of. Challenges for diagnosis and treatment of dieulafoys lesions include the rare. Ulcera gatrica y duodenal by fernanda nava on prezi.
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