Peitsch W, Lange W, Schauer A
Abteilung Allgemeine Pathologie und Pathologische Anatomie II, Universität Göttingen.
Dtsch Med Wochenschr. 1987 Dec 11;112(50):1940-2. doi: 10.1055/s-2008-1068358.
Twelve patients suffering from haemorrhages from a superficial exulceration (Dieulafoy's disease) were treated on an emergency basis during the period from 1981 to 1987. Preoperative diagnosis by means of gastroscopy was possible in 3 cases only. The sites of predilection within the cardia and near to it, except the curvatures, determined the surgical access by means of high gastrotomy-independent of a verification of the diagnosis. In 11 cases the therapy consisted of the purse-string ligature, in one case endoscopic sclerosing was successful. The mortality rate was 16.6%.
1981年至1987年期间，对12例因浅表溃疡出血（Dieulafoy病）而接受急诊治疗的患者进行了研究。术前仅3例通过胃镜检查得以确诊。除胃弯外，贲门及其附近的好发部位决定了手术方式为高位胃切开术，而无需确诊。11例患者采用荷包缝合结扎治疗，1例内镜下硬化治疗成功。死亡率为16.6%。
