Clinical and endoscopic analysis of gastric Dieulafoy’s lesion

查看全文 作　　者：Yi-Juan Ding,Liang Zhao,Jun Liu,He-Sheng Luo,Department of Gastroenterology,Renmin Hospital of Wuhan University, Jiefang Road 238,Wuhan 430060,Hubei Province,China 出　　处：《World Journal of Gastroenterology》索引2010年第16卷第5期,共5页 摘　　要：AIM:To investigate the incidence,location,clinical presentation,diagnosis and effectiveness of endoscopic treatment of gastric Dieulafoy's lesion(DL)in China. METHODS:All patients who received emergency upper gastrointestinal(GI)endoscopy due to gastric DL from February 2000 to August 2008 at GI endoscopy center of Renmin Hospital of Wuhan University were included in this study.The clinical presentation,medical history,location and characteristics of DL methods and effectiveness of therapy of patients with DL were retrospectively analysed by chart reviews.Long-term follow-up data were collected at outpatient clinics or telephone interviews. RESULTS:Fifteen patients were diagnosized with DL,which account for 1.04%of the source of bleed- ing in acute non-variceal upper GI bleeding.Common comorbidities were found in one patient with hypertension and diabetic mellitus.Hemoclip or combined therapy with hemoclip produced primary hemostasis in 92.8%(13/14) of patients. CONCLUSION:DL is uncommon but life-threatening in China.Hemoclip proved to be safe and effective in controlling bleeding from DL. 关 键 词：Gastric Dieulafoy’s lesion Clinical analysis Endoscopic analysis