Hypertension and Clinical Outcomes of Patients With Gastrointestinal Submucosal Vascular (Dieulafoy) Lesional Hemorrhage

Kamal, Maen; Santhanam, Prasanna; Rayyan, Yaser

doi:10.1111/jch.12783

Cited by 3 publications

(3 citation statements)

References 3 publications

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“…It has since been reduced to 4.4–8% with the advancement of non-invasive investigation modalities in addition to increased clinical awareness and surgical expertise [ 2 , 9 , 10 ]. Interestingly, 1 study examined the clinical outcomes of patients with hyper-tension who had a GI bleed due to DL, and concluded that there was an increase in mortality and morbidity rates in patients with hypertension compared to normotensive patients [ 19 ].…”

Section: Discussionmentioning

confidence: 99%

A Challenging Case of Jejunal Dieulafoy’s Lesion: A Rare Cause of Refractory Lower-Gastrointestinal Bleeding

et al. 2022

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Section: Discussionmentioning

confidence: 99%

A Challenging Case of Jejunal Dieulafoy’s Lesion: A Rare Cause of Refractory Lower-Gastrointestinal Bleeding

et al. 2022

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“…Este paciente no cumple con los factores de riesgo en dicho estudio, puesto que se trata de un paciente joven y normotenso, lo cual apunta a un mejor pronóstico. Posterior al control del sangrado, los pacientes con lesiones de Dieulafoy tienden a reducir significativamente sus tasas de mortalidad 17 . Probablemente, los factores cardiovasculares puedan contribuir con el remodelamiento de estas lesiones y el riesgo de resangrado.…”

Section: Discussionunclassified

Lesión de Dieulafoy en estómago como causa de sangrado gastrointestinal alto: presentación de un caso

et al. 2019

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La lesión de Dieulafoy representa aproximadamente el 2% de todos los casos de hemorragia gastrointestinal superior. En la mayoría de casos esta anomalía se ubica en el estómago, principalmente en la curvatura menor. Se presenta el caso de un adulto joven con hematemesis y signos de hipovolemia. Durante la esofagogastroduodenoscopia se evidenció un coágulo adherido en el cuerpo gástrico a nivel de la curvatura mayor, sugestivo de lesión de Dieulafoy. Inicialmente se realizó manejo médico sin mejoría significativa, por lo que se realizó laparotomía exploratoria con resección de la malformación vascular, finalmente con el informe histopatológico se confirmó el diagnóstico. A pesar de ser una causa infrecuente de hemorragia gastrointestinal superior, la lesión de Dieulafoy debe considerarse entre los diagnósticos diferenciales, especialmente si la hemorragia persiste aún con manejo médico. MÉD.UIS.2019;32(1):27-31

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“…Chronic alcohol drinking and antiplatelet drugs intake are possible for intervening factors that may contribute to Dieulafoy's lesion formation, with an Odds Ratio of 3,9 (1,6-9,5 CI 95%) and 2,8 (1,2-6,2 CI 95%), respectively [5]. It is of note that hypertensive patients may experience high morbidity and mortality rates [9].…”

Section: Discussionmentioning

confidence: 99%

Cecum Dieulafoy’s Lesion Presenting with Recurrent Lower Gastrointestinal Bleeding: Case Report

Guedes¹,

Carvalho²,

Arantes³

et al. 2018

JPP

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Introduction: Gastrointestinal Dieulafoy's lesion is a rare entity, of unknown etiology, and corresponds to an arterial malformation at the submucosal space that can be a source of life-threatening hemorrhage. We report a case of a Cecum Dieulafoy's bleeding lesion that was managed endoscopically with a favorable outcome. Case report: Female, 70-year-old, diagnosed with type 2 diabetes, hypothyroidism, and chronic heart failure associated with rheumatic mitral stenosis, submitted to biological valve replacement in 2006 and with permanent atrial fibrillation using vitamin K antagonist anticoagulant for thrombosis prophylaxis. Her background includes a stroke in 2004 without any permanent disability. In 2016, the patient experienced voluptuous and painless lower gastrointestinal bleeding with severe acute anemia, requiring hospital admission, fluid resuscitation and blood transfusion. Urgent colonoscopy revealed a small reddish vascular malformation at the cecum with oozing active bleeding, about 3 mm in size. Initially argon plasma coagulation was performed with satisfactory and immediate hemostasis. One week later, she recurred with hematochezia. The lesion at the cecum was reassessed and it was possible to notice a large caliber vessel surrounded by a normal appearance mucosa, compatible with Dieulafoy's lesion and it was treated with an endoscopic clip placement with a good long-term response. Conclusion: Endoscopy is the method of choice for diagnosis of Dieulafoy's lesion and may provide efficient treatment with mechanical hemostasis such as endoclip placement with a high success rate.

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Hypertension and Clinical Outcomes of Patients With Gastrointestinal Submucosal Vascular (Dieulafoy) Lesional Hemorrhage

Abstract: Dieulafoy lesions are submucosal arteries found in the stomach and some other parts of the gastrointestinal (GI) tracts that can cause massive emergency GI bleeding after penetration of the mucosa over time.

Cited by 3 publications

References 3 publications

A Challenging Case of Jejunal Dieulafoy’s Lesion: A Rare Cause of Refractory Lower-Gastrointestinal Bleeding

A Challenging Case of Jejunal Dieulafoy’s Lesion: A Rare Cause of Refractory Lower-Gastrointestinal Bleeding

Lesión de Dieulafoy en estómago como causa de sangrado gastrointestinal alto: presentación de un caso

Cecum Dieulafoy’s Lesion Presenting with Recurrent Lower Gastrointestinal Bleeding: Case Report

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