Abstrait

Contemporary limitations when encounter with Dieulafoy's Lesion (DL).

Asa Yua

Dieulafoy's lesion has been linked to 177 incidences of upper gastrointestinal bleeding. Severe and recurring upper gastrointestinal haemorrhage is frequently caused by Dieulafoy's lesion. The majority of the lesion was identified in the proximal stomach. In 33 percent of the patients, further endoscopies were required to confirm the diagnosis. Surgery was an effective therapeutic approach when preoperative diagnosis and localisation were done. In 85% of reported instances, therapeutic endoscopy was successful in obtaining permanent hemostasis. Re-treatment was required in 10% of the instances, and surgical therapy was required in 5% of the cases. In all cases, therapeutic endoscopy should be considered first. If endoscopic therapy fails, surgical surgery and angiography with embolization may be viable choices