Mixter C G, Sullivan C A
Department of Surgery, Exeter Hospital, NH.
J Laparoendosc Surg. 1992 Apr;2(2):105-9. doi: 10.1089/lps.1992.2.105.
Dieulafoy's lesion (exulceratio simplex) of the proximal gastric corpus is a more frequent cause of massive upper gastrointestinal hemorrhage than previously appreciated. Recent management has focused on interventional endoscopic and radiologic techniques, but these have been plagued by high rebleeding rates. The traditional surgical approach of suture control of the bleeding or wedge resection is effective but entails significant morbidity and mortality. This article describes endoscopically guided laparoscopic ligation of the feeding vessels in a patient with massive hemorrhage from a Dieulafoy's ulcer.
胃体近端的Dieulafoy病（单纯性溃疡）是引起大量上消化道出血的一个比以往认识更为常见的原因。近期的治疗主要集中在介入性内镜和放射学技术上，但这些技术一直受到高再出血率的困扰。传统的手术方法，即缝合控制出血或楔形切除术是有效的，但会带来显著的发病率和死亡率。本文描述了在一名因Dieulafoy溃疡导致大量出血的患者中，通过内镜引导进行腹腔镜下供血血管结扎术的情况。
