Mini-loop ligation of a bleeding duodenal Dieulafoy's lesion

Znanstveni rad - Prikaz slučaja

• Autor: Marija Gomerčić Palčić
• Autor: Neven Ljubičić
• Autorova ustanova: Sveučilište u Zagrebu; Medicinski fakultet
• Znanstveno / umjetničko područje, polje i grana: BIOMEDICINA I ZDRAVSTVO; Kliničke medicinske znanosti

Sažetak (engleski)

Two percent of gastrointestinal hemorrhages are caused by Dieulafoy's lesions, which are located in duodenum in only 15% of cases. There are no recommendations regarding the prime endoscopic treatment technique for this condition. A 61-year-old woman presented with melena without signs of hemodynamic instability. During an urgent upper endoscopy, blood oozing from the normal mucosa of the duodenum was seen and this was classified as a Dieulafoy's lesion. A mini-loop was opened at the rim of a transparent ligation chamber, at the end of the endoscope, and after aspiration of the lesion, closed and detached. Complete hemostasis was achieved without early or postponed complications. In every day clinical practice, mini-loop ligation is rarely used because of possible complications, such as site ulceration, organ perforation, re-bleeding and possible inexperience of the operator. To the best of our knowledge this is the first case of successful treatment of bleeding duodenal Dieulafoy's lesion by mini-loop ligation.

• Ključne riječi (engleski): Duodenoscopy; Duodenum / blood supply; Duodenum / surgery; Female; Gastrointestinal Hemorrhage / diagnosis; Gastrointestinal Hemorrhage / etiology; Gastrointestinal Hemorrhage / surgery; Hemostasis, Endoscopic; Humans; Intestinal Mucosa / blood supply; Intestinal Mucosa / surgery; Ligation; Melena / etiology; Middle Aged; Treatment Outcome; Vascular Malformations / complications; Vascular Malformations / diagnosis; Vascular Malformations / surgery
• Jezik: engleski
• Vrsta publikacije: Znanstveni rad - Prikaz slučaja
• Status objave: Objavljen
• Vrsta recenzije: Recenziran
• Verzija publikacije: Objavljena verzija rada (izdavačev PDF)
• Naslov časopisa: World Journal of Gastroenterology
• Brojčani podaci: vol. 19, br. 22, str. 3505-3507
• p-ISSN: 1007-9327
• DOI: https://doi.org/10.3748/wjg.v19.i22.3505
• URN:NBN: urn:nbn:hr:105:180164
• Datum objave publikacije: 2013-06-14
• URL dokumenta: https://doi.org/10.3748/wjg.v19.i22.3505
• Vrsta resursa: Tekst
• Prava pristupa: Otvoreni pristup
• Datum i vrijeme pohrane: 2024-03-27 19:51:39