Abstract
Dieulafoy’s lesion is a rare cause of upper gastrointestinal bleeding but become an important etiology. Pathogenesis of the disease evolved from earlier of its invention till now. It has been stated in recent study that the etiology of this disease is vary, from age to genetic. Size and arteriol configuration abnormality has been known as the main pathogenesis of the disease. Endoscopic procedure become the primary diagnostic tool, which effectiveness reached more than 90%. However, in some situation, it’s difficult to find the abnormality by endoscopic procedure. Hemostatic procedure via endoscopy is the main therapy of Dieulafoy’s lesion, which has been progressed from thermal coagulation, mechanical procedure, and epinephrine injection. The development of medical technology has made the better prognosis of the disease.
References
1. Baxter M, Aly HA. Dieulafoy's lesion: current trend in diagnostic and management . Ann R Coll Surg Engl. 2010;92:548-54. 2. Jamanca-Poma Y, Velasco-Guardado A, Geijo-Martínez F, RodríguezPérez. A Prognostic factors for recurrence of gastrointestinal bleeding due to Dieulafoy's lesion. World J Gastroenterol. 2012;18(40):5734-8. 3. Al-Mishlab T, Amin AM, Ellul JP .Dieulafoy's lesion: an obscure cause of GI bleeding. Journal of the Royal Col of Surg of Edin. 2006;44(3):222–5. 4. Miko TL, Thomazy VA. Caliber persistent artery of the stomach. Hum Pathol. 1988;19:914-21. 5. Treesaranuwattana S, Choosak K. Dieulafoy lesion: pathology, diagnosis and treatment. Thai J Surg Jul. 2006;23:87-93. 6. Senger JL and Kanthan R. The evolution of dieulafoy’s lesion since 1897: then and now—a journey through the lens of a pediatric lesion with literature review. Gastroent Research and Prac. 2012;73:51-65. 7. Luis LF, Sreenarasimhaiah J, Jiang Tang S, Afonso BB, Rockey DC. Localization, efficacy of therapy, and outcomes of Dieulafoy lesions of the GI tract – The UT Southwestern GI Bleed Team experience. Gastrointest Endosc. 2008;67:AB87.
Recommended Citation
Saifuddin, Anshari; Renaldi, Kaka; and Situmorang, Indah
(2017)
"Diagnostic Approach and Treatment of Dieulafoy's lesion,"
Jurnal Penyakit Dalam Indonesia: Vol. 4:
Iss.
2, Article 9.
DOI: 10.7454/jpdi.v4i2.128
Available at:
https://scholarhub.ui.ac.id/jpdi/vol4/iss2/9