Clinical and endoscopic analysis of gastric Dieulafoy's lesion.
OBJECTIVE
To investigate the incidence, location, clinical presentation, diagnosis and effectiveness of endoscopic treatment of gastric Dieulafoy's lesion (DL) in China.


METHODS
All patients who received emergency upper gastrointestinal (GI) endoscopy due to gastric DL from February 2000 to August 2008 at GI endoscopy center of Renmin Hospital of Wuhan University were included in this study. The clinical presentation, medical history, location and characteristics of DL methods and effectiveness of therapy of patients with DL were retrospectively analysed by chart reviews. Long-term follow-up data were collected at outpatient clinics or telephone interviews.


RESULTS
Fifteen patients were diagnosized with DL, which account for 1.04% of the source of bleeding in acute non-variceal upper GI bleeding. Common comorbidities were found in one patient with hypertension and diabetic mellitus. Hemoclip or combined therapy with hemoclip produced primary hemostasis in 92.8% (13/14) of patients.


CONCLUSIONS
DL is uncommon but life-threatening in China. Hemoclip proved to be safe and effective in controlling bleeding from DL.
Ding
Yi-Juan
YJ
Department of Gastroenterology, Renmin Hospital of Wuhan University, Jiefang Road 238, Wuhan 430060, Hubei Province, China.
Zhao
Liang
L
Liu
Jun
J
Luo
He-Sheng
HS
D000328:Adult; D000369:Aged, 80 and over; D002648:Child; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology / Q000601:surgery; D006439:Hemodynamics; D006487:Hemostasis; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D013272:Stomach Diseases / Q000150:complications / Q000175:diagnosis / Q000601:surgery; D016896:Treatment Outcome; D055815:Young Adult