title: The Dieulafoy's Lesion: An Update on Evaluation, Diagnosis, and Management.
abstract: Dieulafoy's lesion (DL) is a persistently wide caliber artery that is observed more frequently at the fifth decade of life in the male population with multiple comorbidities. There are a variety of endoscopic therapies that have been used to treat DL; however, there are no clear guidelines on the best treatment modality. This article systematically reviews the diagnosis, the most commonly reported therapies of DL, and offers a suggested algorithm based upon efficacy of treatment such as initial hemostasis, rebleeding rates, and mortality.
authors.affiliation: *VA Loma Linda Health Care System †Loma Linda University and VA Loma Linda Health Care System, Loma Linda, CA.
authors.forename: David C
authors.initials: DC
authors.lastname: Nguyen
authors.forename: Christian S
authors.initials: CS
authors.lastname: Jackson
mesh_terms: D001158:Arteries / Q000002:abnormalities; D003131:Combined Modality Therapy / Q000379:methods; D019468:Disease Management; D005753:Gastric Mucosa / Q000098:blood supply*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy; D016558:Hemostasis, Endoscopic; D006801:Humans; D007413:Intestinal Mucosa / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome; D054079:Vascular Malformations / Q000175:diagnosis / Q000628:therapy*