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Rev Esp Enferm Dig. 2020 Mar 20;112. doi: 10.17235/reed.2020.6899/2020. [Epub ahead of print]

Recurrent small-bowel bleeding from a Dieulafoy's lesion after combined endoscopic treatment.

Author information

1
Sección de Aparato Digestivo, Hospital General Universitario Morales Meseguer, España.
2
Servicio de Aparato Digestivo, Hospital General Universitario Morales Meseguer, España.
3
Hepato-Gastro-Enterología y Endoscopia Digestiva, Hospital Europeo Georges Pompidou, Francia.

Abstract

INTRODUCTION:

Dieulafoy's lesion of the small bowel is an uncommon cause of gastrointestinal (GI) bleeding that often recurs after endoscopic treatment.

MATERIAL AND METHODS:

we report an observational, descriptive, retrospective, single-center study in 15 patients with small bowel bleeding who were diagnosed with a Dieulafoy's lesion by capsule endoscopy or double-balloon enteroscopy.

RESULTS AND CONCLUSIONS:

all patients underwent combined endoscopic treatment. During a median follow-up of 33.5 months (range, 2-145), three of the 12 cases that stayed in follow-up (25 %) recurred, all within 48 hours after treatment. Two were successfully re-treated with a repeat endoscopic procedure.

PMID:
32193938
DOI:
10.17235/reed.2020.6899/2020
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