[Dieulafoy's exulceratio simplex. A rare but serious cause of acute upper gastrointestinal bleeding].
Twelve patients suffering from haemorrhages from a superficial exulceration (Dieulafoy's disease) were treated on an emergency basis during the period from 1981 to 1987. Preoperative diagnosis by means of gastroscopy was possible in 3 cases only. The sites of predilection within the cardia and near to it, except the curvatures, determined the surgical access by means of high gastrotomy-independent of a verification of the diagnosis. In 11 cases the therapy consisted of the purse-string ligature, in one case endoscopic sclerosing was successful. The mortality rate was 16.6%.
D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries; D001165:Arteriovenous Malformations / Q000150:complications* / Q000401:mortality / Q000601:surgery; D004630:Emergencies; D005260:Female; D005753:Gastric Mucosa / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000401:mortality / Q000601:surgery; D006801:Humans; D008297:Male; D008875:Middle Aged; D013276:Stomach Ulcer / Q000150:complications* / Q000209:etiology / Q000401:mortality / Q000601:surgery; D013577:Syndrome
Die Exulceratio simplex Dieulafoy. Eine seltene, aber ernste Ursache der akuten oberen Gastrointestinalblutung.