Recurrent small-bowel bleeding from a Dieulafoy's lesion after combined endoscopic treatment

Rev Esp Enferm Dig. 2020 Apr;112(4):269-272. doi: 10.17235/reed.2020.6899/2020.

Abstract

Introduction: Dieulafoy's lesion of the small bowel is an uncommon cause of gastrointestinal (GI) bleeding that often recurs after endoscopic treatment.

Material and methods: we report an observational, descriptive, retrospective, single-center study in 15 patients with small bowel bleeding who were diagnosed with a Dieulafoy's lesion by capsule endoscopy or double-balloon enteroscopy.

Results and conclusions: all patients underwent combined endoscopic treatment. During a median follow-up of 33.5 months (range, 2-145), three of the 12 cases that stayed in follow-up (25 %) recurred, all within 48 hours after treatment. Two were successfully re-treated with a repeat endoscopic procedure.

MeSH terms

  • Capsule Endoscopy*
  • Combined Modality Therapy
  • Gastrointestinal Hemorrhage* / etiology
  • Gastrointestinal Hemorrhage* / therapy
  • Humans
  • Intestine, Small / diagnostic imaging
  • Intestine, Small / surgery
  • Retrospective Studies