Pinto Sánchez Juan Francisco
Servicio de Gastroenterología, Clínica Padre Luis Tezza, Lima.
Rev Gastroenterol Peru. 2005 Oct-Dec;25(4):371-4.
The upper gastrointestinal bleeding by Dieulafoy's lesion is a rare cause of bleeding, it is a massive haemorrhage and it is difficult to diagnose. Endoscopy is the diagnostic method of choice, in many cases are necessary repeated examinations. Endoscopic therapy is the therapeutic approach of choice, it can achieve the hemostasis in more than 90% of cases; combined therapy methods being more effective than single monotherapy. Surgical treatment remains for cases of uncontrolled hemorrhaging. Dieulafoy's lesion is a rare condition. We have only two nation wide reports. We present two cases of patients with gastric Dieulafoy's lesion with active bleeding which were successfully treated with injection endoscopic of epinephrine and absolute alcohol therapy, showing no relapse of bleeding after 12 months. They did not present other episode of haemorrhage during the twelve months after initial bleeding.
Dieulafoy 病所致上消化道出血是一种罕见的出血原因，表现为大量出血且难以诊断。内镜检查是首选的诊断方法，在许多情况下需要反复检查。内镜治疗是首选的治疗方法，在超过90%的病例中可实现止血；联合治疗方法比单一治疗更有效。对于出血无法控制的病例则需进行手术治疗。Dieulafoy 病是一种罕见疾病。我们仅有两篇全国性报告。我们呈现两例患有活动性出血的胃 Dieulafoy 病患者，通过内镜下肾上腺素注射和无水乙醇治疗成功治愈，在12个月后未出现出血复发。在初次出血后的十二个月内，他们未出现其他出血事件。
