Bleeding Dieulafoy's-like lesions of the gut identified by capsule endoscopy.
Dieulafoy's-like lesions (DLs-like) represent a cause of obscure gastrointestinal bleeding, enteroscopy being the main diagnostic and therapeutic procedure. Frequently, more than one enteroscopy is needed to identify the bleeding vessel. In our practice, video capsule endoscopy (VCE) identified and guided therapy in four cases of DLs-like; three of them were localized on the small bowel. We report, for the first time, a diagnosis of colonic DL-like performed by colon capsule endoscopy. Two patients presented with severe cardiovascular disorders, being hemodynamically unstable during VCE examination. Based on the VCE findings, only one invasive therapeutic procedure per patient was necessary to achieve hemostasis. VCE and enteroscopy may be regarded as complementary procedures in patients with gut DLs-like.
Regional Institute of Gastroenterology and Hepatology, University of Medicine and Pharmacy, 400162 Cluj, Romania. ciobanulidia@yahoo.com
Lidia
L
Ciobanu
Oliviu
O
Pascu
Brindusa
B
Diaconu
Daniela
D
Matei
Cristina
C
Pojoga
Marcel
M
Tanţău
D000368:Aged; D000369:Aged, 80 and over; D001158:Arteries / Q000473:pathology; D053704:Capsule Endoscopy; D003113:Colonoscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000601:surgery; D006489:Hemostatic Techniques; D006801:Humans; D007410:Intestinal Diseases / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery; D007413:Intestinal Mucosa / Q000098:blood supply* / Q000473:pathology* / Q000601:surgery; D008875:Middle Aged; D011237:Predictive Value of Tests; D016896:Treatment Outcome
Dieulafoy’s-like lesion; Enteroscopy; Obscure gastrointestinal bleeding; Small bowel; Video capsule endoscopy