Karanfilian R G, Yang H K, Gendler S
Department of Surgery, New Rochelle Hospital Medical Center, New York, USA.
J Laparoendosc Surg. 1996 Oct;6(5):345-8. doi: 10.1089/lps.1996.6.345.
Dieulafoy's lesion is a vascular malformation, usually of the stomach but occasionally of the small or large bowel. It is an uncommon but clinically significant source of massive upper gastrointestinal (GI) hemorrhage. The lesion is generally located high on the lesser curvature in the proximal stomach. Although most bleeding can be controlled endoscopically, surgery is occasionally required. The traditional approach was open laparotomy, gastrotomy to localize the lesion, followed by partial gastrectomy or wedge resection. The following case report describes and illustrates a method of intraluminal endoscopic localization of the lesion followed by laparoscopic gastric wedge resection using a 3-port technique.
Dieulafoy病是一种血管畸形，通常发生于胃，但偶尔也可见于小肠或大肠。它是上消化道大出血的一个少见但具有临床意义的病因。该病变通常位于胃近端小弯侧较高位置。尽管大多数出血可通过内镜控制，但偶尔仍需要手术治疗。传统方法是开腹手术，切开胃壁以定位病变，然后行胃部分切除术或楔形切除术。以下病例报告描述并阐述了一种腔内内镜定位病变的方法，随后采用三孔技术进行腹腔镜胃楔形切除术。
