Endoscopic Management of Rectal Dieulafoy's Lesion: A Case Series and Optimal Treatment
Clinical Endoscopy
;
: 362-366, 2014.
Article
in English
| WPRIM
| ID: wpr-47277
ABSTRACT
Rectal Dieulafoy's lesion (DL) is rare cause of lower gastrointestinal bleeding. Because of its rarity, there is no consensus on the optimal endoscopic hemostasis technique for rectal DL. We analyzed six patients who underwent endoscopic management for rectal DL after presenting with hematochezia at a single institute over 10 years. Of the six patients, three underwent endoscopic band ligation (EBL) and three underwent endoscopic hemoclip placement (EHP). Only one patient was treated with thermocoagulation. There were no immediate complications in any of the patients. None of the patients required a procedure or surgery for the treatment of rebleeding. Mean procedure times of EBL and EHP were 5.25 minutes and 7 minutes, respectively. Both EHP and EBL are shown to be effective in the treatment of bleeding rectal DL. We suggest that EBL may have potential as the preferred therapy owing to its superiority in technical and economic aspects, especially in elderly and high-risk patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Hemostasis, Endoscopic
/
Consensus
/
Electrocoagulation
/
Hemorrhage
/
Gastrointestinal Hemorrhage
/
Ligation
Type of study:
Practice guideline
Limits:
Aged
/
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2014
Type:
Article
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