title: Double Dieulafoy-like lesion in the stomach.
abstract: Dieulafoy's lesion is an uncommon cause of major gastrointestinal bleeding and may be difficult to recognize. It consists of an arteriole that protrudes through a tiny mucosal defect usually within 6 cm of the gastroesophageal junction on the lesser curve of the stomach. Despite widespread awareness of this entity, it remains a diagnostic challenge for gastroenterologists because of its small size and hidden location. Emergency endoscopy is the most effective method of diagnosing the disease. We report a patient, with double Dieulafoy-like lesion, who was successfully treated endoscopically using hemostatic clip application. The characteristics of the Dieulafoy's lesion, its current diagnosis, and its treatment are discussed.
authors.affiliation: Department of Endoscopy and Motility Unit, General Hospital George Gennimatas, Thessaloniki, Greece. pantso@the.forthnet.gr
authors.forename: P
authors.initials: P
authors.lastname: Katsinelos
authors.forename: G
authors.initials: G
authors.lastname: Paroutoglou
authors.forename: I
authors.initials: I
authors.lastname: Pilpilidis
authors.forename: P
authors.initials: P
authors.lastname: Tsolkas
authors.forename: A
authors.initials: A
authors.lastname: Papagiannis
authors.forename: P
authors.initials: P
authors.lastname: Kapelidis
authors.forename: C
authors.initials: C
authors.lastname: Trakateli
authors.forename: A
authors.initials: A
authors.lastname: Iliadis
authors.forename: E
authors.initials: E
authors.lastname: Georgiadou
authors.forename: E
authors.initials: E
authors.lastname: Kamperis
authors.forename: S
authors.initials: S
authors.lastname: Dimiropoulos
authors.forename: I
authors.initials: I
authors.lastname: Vasiliadis
mesh_terms: D000368:Aged; D000369:Aged, 80 and over; D001160:Arterioles / Q000002:abnormalities; D000013:Congenital Abnormalities / Q000175:diagnosis; D004630:Emergencies; D005748:Gastric Fundus / Q000473:pathology; D005753:Gastric Mucosa / Q000002:abnormalities*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D005773:Gastroscopy; D006488:Hemostasis, Surgical / Q000295:instrumentation / Q000379:methods*; D006801:Humans; D008297:Male; D008551:Melena / Q000209:etiology; D013525:Surgical Instruments