Korean Journal of Gastrointestinal Endoscopy 1994;14(3): 357-364.
증례 : 내시경적 결찰술에 의한 Dieulafoy 병의 치료 3예 ( Case Reports : Endoscopic " 0 " Band Ligation Treatment for 3 Cases with Dieulafoy Lesion )
박성규, 최호순, 박강서, 최덕례, 최우석, 안진형, 조병석, 박병수, 고정희 (Seong Kyu Park, Ho Soon Choi, Kang Seo Park, Duck Reii Choi, Woo Seok Choi, Jin Hyung Ahn, Byoung Seok Cho, Byoung Soo Park and Jung Hee Ko)
Abstract
Dieulafoy lesion is very small and easily overlooked as a course of massive, often recurrent hemorrhage that results from the crosion of a submucosal artery, typically in the gastric cardia or fundus. The clinical picture of Dieulafoy lesion is quite uniform: patients commonly present with massive hemorrhage and melena without any relevant history. The diagnostic procedure of choice in patients with severe gastrointestinal bleeding is emergency endoscopy. The lesion is rare but potentially life threatening source of upper gastrointestinal bleeding. Before the endoscopic era, the prognosis for patients with these lesions was quite poor. However, recent reports have described the success of endoscopic therapy in the management of Dieulafoy lesion. We performed emergency endoscopy in 3 patients who had massive or recurrent episode of upper gastrointestinal bleeding, identified to the Dieulafoy lesion. We tried to Endoscopic "0" band ligation, successfully in hemostasis and prevention of recurrence.
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