Therapeutic Advances in Gastroenterology (Sep 2008)

Upper gastrointestinal Dieulafoy's lesions and endoscopic treatment: First report from a Mexican centre

  • Gustavo López-Arce,
  • Sergio Zepeda-Gómez,
  • Norberto C. Chávez-Tapia,
  • Sandra García-Osogobio,
  • Ada M. Franco-Guzmán,
  • Miguel A. Ramírez-Luna,
  • Félix I. Téllez-Ávila

DOI
https://doi.org/10.1177/1756283X08096285
Journal volume & issue
Vol. 1

Abstract

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The aim was to evaluate the initial success, rebleeding rate, need for emergent surgery, and mortality rates of patients with Dieulafoy's lesion (DL) and endoscopic treatment (ET). Patients with DL from a tertiary center were included. We included 20 patients with follow-up of 90 (60—550) days. The lesser curvature was the most common localization. Initial success, rebleeding, and emergent surgery requirement were observed in 90%, 10%, and 15%, respectively. No objective variables were related with response to ET. In conclusion, ET is secure and useful in patients with DL and it must be considered as the first-line treatment modality.