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Confirmation of Dieulafoy's Vascular Lesion by Endoscopic Ultrasonography in Three Cases
Author(s) -
AKAHOSHI Kazuya,
CHIJIIWA Yoshiharu,
MISAWA Tadashi,
AYUKAWA Kusuo,
NAKAMURA Kazuo,
JIMI Masafumi,
AKAMINE Yasuo,
NAWATA Hajime
Publication year - 1993
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/j.1443-1661.1993.tb00644.x
Subject(s) - medicine , lesion , hemostasis , endoscopic ultrasonography , stomach , radiology , upper gastrointestinal bleeding , surgery , emergency surgery , endoscopy
We investigated the endosonographic findings in 3 patients with Dieulafoy's lesion. The characteristic finding was an elliptical or tortuous anechoic lesion in the submucosal layer that extended to the outer side of the gastric wall. There were no intramural changes suggestive of deep ulcer beyond the Ul‐2. An abnormally large submucosal vessel was observed within 4 cm of the site of bleeding. This vessel was present even in the remnant stomach of a patient who required emergency surgery because an attempt to treat massive bleeding with endoscopic hemostasis failed. These endosonographic findings suggest that Dieulafoy's lesion patients risk rebleeding due to shallow ulceration.