surgery-anesthesia-euro-gastro-congress-2018-posters

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N o v e m b e r 1 2 - 1 3 , 2 0 1 8 | R o m e , I t a l y

Joint Event on

OF EXCELLENCE

IN INTERNATIONAL

MEETINGS

YEARS

Surgery and Anesthesia 2018 & Euro Gastro Congress 2018

Case Reports in Surgery and Invasive Procedures

Volume 2

GASTROENTEROLOGY

International Conference on

SURGERY AND ANESTHESIA

International Conference on

Case Rep Surg Invasive Proced 2018, Volume 2

COMBINED MANAGEMENT APPROACH FOR GASTRIC & EXTRA-GASTRIC

DIEULAFOY’S LESIONS

Mohamed A A Bassiony

Zagazig University, Egypt

ieulafoy’s lesions are under diagnosed and with considerable rate of re-bleeding. They are common causes of obscure gastroin-

testinal bleeding. These are 3 cases of Dieulafoy’s lesion, one gastric & two are extra-gastric. The first case was an 11-year-old

girl presented by recurrent hematemesis & melena. She was secured by endoscopic banding after adrenaline injection. The second

case was a 19-year-old male who had multiple recurrent attacks of melena. Initial upper endoscopy was normal but angiography

showed contrast extravasation at the first part of duodenum secured by coil embolization but another bleeding episode occurred 3

weeks later from an aberrant nearby vessel that was secured by endoscopic hemoclipping. The third patient was a 47- year-old man

presented by hematochezia. Colonoscopy showed oozing from an aberrant vessel in the descending colon secured by endoscopic

argon plasma coagulation and hemoclipping. Two days later, all three patients underwent endoscopic ultrasonography (EUS) which

confirmed complete hemostasis.

Conclusions:

GI endoscopy plus angiography followed by EUS is an effective approach for a better management (diagnosis, treat-

ment & follow up) of bleeding Dieulafoy’s lesions with a markedly lower rate of recurrence & mortality.