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胃Dieulafoy病——胃肠道系统出血的罕见原因。

Dieulafoy disease of stomach--an uncommon cause of gastrointestinal system bleeding.

作者信息

Gambhire Pravir Amrut, Jain Samit Sampat, Rathi Pravin Motilal, Amarapurkar Anjali Deepak

出版信息

J Assoc Physicians India. 2014 Jun;62(6):526-8.

Abstract

Dieulafoy disease is an uncommon cause of gastrointestinal system bleeding. It is characterised by bleeding from abnormal submucosal arteriole. Endoscopic therapy and surgery are the preferred treatment option for this lesion. Paul Georges Dieulafoy (1839-1911), a professor of pathology in Paris, France, was the first to describe a series of 10 patients who presented with Dieulafoy disease. The advent of endoscopy has drastically changed the process of diagnosing and treating Dieulafoy lesions, with techniques such as endoscopic banding, haemoclips, thermocoagulation, and injections with adrenaline as alternatives to replace surgical management as was described to be a best practice management.

摘要

Dieulafoy病是胃肠道系统出血的一种罕见病因。其特征是异常的黏膜下小动脉出血。内镜治疗和手术是该病变的首选治疗方法。法国巴黎的病理学教授保罗·乔治·迪厄拉富瓦(1839 - 1911)是首个描述了一系列10例患有Dieulafoy病患者的人。内镜检查的出现极大地改变了Dieulafoy病变的诊断和治疗过程,诸如内镜下套扎、止血夹、热凝术以及肾上腺素注射等技术,作为替代手术治疗的方法,被描述为最佳治疗方案。

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