Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy's lesion

Abstract

Endoscopic treatment of DL is safe and effective. Adrenaline monotherapy and arterial (spurting) bleeding are associated with a high rate of bleeding recurrence.

Clinical Features, Endoscopic Management and Outcome of Patients with Non-variceal Upper Digestive Bleeding by Dieulafoy Lesion

“…Jamanca-Poma et al reported that, despite the high rate of comorbidities, no significant relationship was found between comorbidity and re-bleeding risk in Dieulafoy patients [40]. In the study of Park and colab, kidney disease and infection were significant predictors of re-bleeding in patients with DL, especially when the combination of infection and kidney disease was not properly controlled by medical treatment.…”

Outcomes in Dieulafoy’s Lesion: A 10-Year Clinical Review

“…DL is most commonly found in the lesser curvature of the stomach, with up to 95 % of stomach lesions located within 6 cm of the gastroesophageal junction [1,2,[6][7][8], where the stomach gets its blood supply from branches of the left and right gastric artery instead of the submucosal plexus [6,9]. Besides the stomach, DL has also been described in other locations, including the duodenum, colon, esophagus, jejunum, ileum, rectum, and bronchus [7,[10][11][12][13][14][15].…”

Successful Treatment of Dieulafoy´s Gastric Lesion in a Critical Elderly Patient

“…The usual clinical picture is painless, massive and recurrent gastrointestinal bleeding [2,4]. It occurs most commonly in the stomach (75%), in the small curvature (up to 6 cm from the gastroesophageal junction in 80% to 95% of cases) [1,2]. The diagnosis is made by endoscopy, sometimes difficult, due to the size of the lesion, normal aspect of the adjacent mucosa and intermittent bleeding, requiring multiple procedures.…”

“…It is associated with non-steroidal anti-inflammatory drugs, aspirin and antiplatelet use [4]. The usual clinical picture is painless, massive and recurrent gastrointestinal bleeding [2,4]. It occurs most commonly in the stomach (75%), in the small curvature (up to 6 cm from the gastroesophageal junction in 80% to 95% of cases) [1,2].…”

“…The Dieulafoy lesion is an important cause of acute gastrointestinal bleeding [1], occurring in up to 6% of non-varicose bleeds of gastrointestinal origin [2]. By definition, it originates in a dilated submucosal artery, which undergoes mucosal erosion, in the absence of an ulcer, aneurysm, or intrinsic mural abnormality [1].…”