title: The Diagnostic Dilemma of Dieulafoy's Lesion.
abstract: Dieulafoy's lesion (DL) is a relatively rare condition which carries a significantly high risk for mortality. A tortuous large arteriole in the wall of the stomach can result in significant gastrointestinal (GI) hemorrhage which can result in detrimental complications. Although it only accounts for about 1% of all GI bleeding, it has been considered to be one of the most underrecognized conditions. This train of thought may unfortunately be related to the difficulty in its diagnosis. After conducting a Medline search of the medical literature, with a focus on current PubMed articles, a thorough examination of updated diagnostic and treatment approaches was compared. Diagnostic techniques in the analysis and treatment of DLs continue to be limited to this day. Endoscopy remains as the main diagnostic and therapeutic tool; however, it continues to have its limitations. Other alternatives include but are not limited to angiography and surgical interventions which at times can be more successful. Diagnostic improvements and research for the detection of DL continue to advance; however, they remain limited in their capabilities. Further analysis and workup needs to be conducted in order to reduce hospital stay and improve survival.
authors: Internal Medicine Department, Raritan Bay Medical Center, 530 New Brunswick Avenue, Perth Amboy, NJ 08861, USA.
authors: Rafay
authors: R
authors: Khan
authors: Internal Medicine Department, Raritan Bay Medical Center, 530 New Brunswick Avenue, Perth Amboy, NJ 08861, USA.
authors: Abdul
authors: A
authors: Mahmad
authors: Internal Medicine Department, Maimonides Medical Center, 4802 10th Ave, Brooklyn, NY 11219, USA.
authors: Mark
authors: M
authors: Gobrial
authors: Internal Medicine Department, Jersey City Medical Center, 355 Grand St, Jersey City, NJ 07302, USA.
authors: Francis
authors: F
authors: Onwochei
authors: St. George's University School of Medicine, University Centre, Grenada, West Indies.
authors: Kunal
authors: K
authors: Shah
keywords: Diagnosis; Dieulafoy’s lesion; Endoscopy; Gastrointestinal bleeding; Hemorrhage