The caliber persistent artery of the stomach: A unifying approach to gastric aneurysm, Dieulafoy's lesion, and submucosal arterial malformation

Mikó, T; Thomázy, Vilmos

doi:10.1016/s0046-8177(88)80006-6

Cited by 114 publications

(41 citation statements)

References 38 publications

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“…The median American Society of Anesthesiologists (ASA) class at time of endoscopy was 3 (range 2-5). The median Rockall score was 6 (range [1][2][3][4][5][6][7][8], and similar between deaths (6, range 3-8), and survivals (6, range 1-8).…”

Section: Resultsmentioning

confidence: 84%

“…The history of George Dieulafoy and the vascular abnormality that carries his name has been well described [5][6][7]. While vessels normally become smaller as they penetrate the mucosa, the DL is a caliber-persistent arteriole that remains abnormally large and protrudes through normal mucosa into a lumen [6,7].…”

Section: Introductionmentioning

confidence: 99%

“…While vessels normally become smaller as they penetrate the mucosa, the DL is a caliber-persistent arteriole that remains abnormally large and protrudes through normal mucosa into a lumen [6,7]. Most Dieulafoy lesions occur in the gastrointestinal tract, but they have been described in other organs as well [8,9].…”

Section: Introductionmentioning

confidence: 99%

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Dieulafoy Lesions of the GI Tract: Localization and Therapeutic Outcomes

et al. 2010

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Section: Resultsmentioning

confidence: 84%

Section: Introductionmentioning

confidence: 99%

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Dieulafoy Lesions of the GI Tract: Localization and Therapeutic Outcomes

et al. 2010

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“…The submucosal defect is thought to result from pressure erosion by the ectatic submucosal vessel. 13,14 In the stomach, the DL consists of an abnormal submucosal artery which fails to undergo the usual divisions within the stomach wall. The typical mucosal vessels are small capillaries, whereas the DL vessel can range from 1-3 mm and represents a "caliber-persistent artery."…”

Section: Discussionmentioning

confidence: 99%

Dieulafoy??s Lesion of the Bronchus

Rennert¹,

Gharagozloo²,

Schwartz³

et al. 2007

Pathology Case Reviews

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Dieulafoy's lesion is a vascular anomaly or malformation that may present with a radiologic density but more commonly with hemoptysis. The thick-walled vascular malformation is located within the bronchial wall and is susceptible to erosion of the mucosa or secondarily to inadvertent biopsy with significant bleeding. These malformations and subsequent hemoptyses present in adults, most commonly in the 5th and 6th decades, usually in the right lung, more commonly in men than in women, and with little to no association with previous infection and smoking. Though rare cases result in fatal hemorrhage, many cases may need lobe resection to control the bleeding.

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“…Os métodos de hemostasia endoscópica, já descritos, podem ser utilizados. O tratamento cirúrgico está indicado apenas nos casos refratários 59,64 .…”

Section: Lesão De Dieulafoyunclassified

Gastrointestinal bleeding

Carvalho¹,

Nita²,

Paiva³

et al. 2000

J Pediatr (Rio J)

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ARTIGO DE REVISÃO ResumoObjetivo: Apresentar uma revisão sobre a ocorrência da hemorragia digestiva em crianças, com ênfase: i) na abordagem diagnós-tica; ii) no uso organizado das diversas modalidades terapêuticas utilizadas no controle da hemorragia digestiva alta; iii) na revisão de conceitos, classificações e técnicas utilizadas em endoscopia digestiva, importantes para a prática clínica pediátrica.Métodos: Foram selecionados capítulos de livros-textos, artigos relevantes ao tema, obtidos através do sistema Medline e busca ativa, bem como arquivos pessoais dos autores.Resultados: Na infância, o diagnóstico diferencial da hemorragia digestiva varia conforme a faixa etária avaliada. As causas de hemorragia digestiva alta são subdivididas em varicosas e não-varicosas. Os bloqueadores betadrenérgicos não-seletivos são indicados como profilaxia da HDA varicosa. As drogas vasoativas como a somatostatina, o octreotide e a glipressina são utilizadas, com bons resultados, na hemorragia aguda, varicosa e não-varicosa. Tanto a escleroterapia quanto a ligadura elástica podem ser utilizadas na infância, para obliteração das varizes esofágicas. O cianoacrilato é eficaz e associa-se a menor índice de complicações na HDA relacionada a varizes gástricas. A presença dos estigmas de hemorragia, como sangramento ativo e vaso visível nas lesões ulcerosas, indica um maior risco de recidiva hemorrágica, implicando a necessidade de hemostasia endoscópica. Os bloqueadores da bomba de prótons são mais eficazes que os bloqueadores H2 em promover a cicatrização das úlceras pépticas hemorrágicas.Conclusão: O conhecimento do diagnóstico etiológico em crianças com hemorragia digestiva é fundamental para a instituição da terapêutica adequada, cujos principais avanços se referem ao tratamento farmacológico e endoscópico. J. pediatr. (Rio J.). 2000; 76 (Supl.2): S135-S146: hemorragia digestiva alta, sangramento digestivo, endoscopia digestiva. AbstractObjective: To present an analysis of the occurrence of gastrointestinal bleeding in children and emphasize: i) diagnostic methods, ii) the organized use of different therapeutic approaches in upper gastrointestinal bleeding; iii) the review of concepts, classifications and techniques used in endoscopy which are important to the practice of clinical pediatrics.Methods: Literature review of selected chapters from coursebooks, articles pertinent to the theme, obtained through the Medline system and active search, as well as personal archives belonging to the authors. Results:The differential diagnosis of gastrointestinal bleeding in children varies according to age. The causes of upper gastrointestinal bleeding are subdivided into variceal and nonvariceal. Nonselective ß-blockers are recommended to prevent variceal bleeding. The vasoactive drugs such as somatostatin, octreotide, and glypressin can be used showing good results in both variceal and nonvariceal acute bleeding. Both sclerotherapy and variceal ligation can be used in children, to achieve variceal eradication. Cyanoacrylate is effective...

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The caliber persistent artery of the stomach: A unifying approach to gastric aneurysm, Dieulafoy's lesion, and submucosal arterial malformation

Cited by 114 publications

References 38 publications

Dieulafoy Lesions of the GI Tract: Localization and Therapeutic Outcomes

Dieulafoy Lesions of the GI Tract: Localization and Therapeutic Outcomes

Dieulafoy??s Lesion of the Bronchus

Gastrointestinal bleeding

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