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The Diagnostic Dilemma of Dieulafoy’s Lesion

Dieulafoy’s lesion (DL) is a relatively rare condition which carries a significantly high risk for mortality. A tortuous large arteriole in the wall of the stomach can result in significant gastrointestinal (GI) hemorrhage which can result in detrimental complications. Although it only accounts for...

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Detalles Bibliográficos
Autores principales: Khan, Rafay, Mahmad, Abdul, Gobrial, Mark, Onwochei, Francis, Shah, Kunal
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elmer Press 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040527/
https://www.ncbi.nlm.nih.gov/pubmed/27785297
http://dx.doi.org/10.14740/gr671w
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author Khan, Rafay
Mahmad, Abdul
Gobrial, Mark
Onwochei, Francis
Shah, Kunal
author_facet Khan, Rafay
Mahmad, Abdul
Gobrial, Mark
Onwochei, Francis
Shah, Kunal
author_sort Khan, Rafay
collection PubMed
description Dieulafoy’s lesion (DL) is a relatively rare condition which carries a significantly high risk for mortality. A tortuous large arteriole in the wall of the stomach can result in significant gastrointestinal (GI) hemorrhage which can result in detrimental complications. Although it only accounts for about 1% of all GI bleeding, it has been considered to be one of the most underrecognized conditions. This train of thought may unfortunately be related to the difficulty in its diagnosis. After conducting a Medline search of the medical literature, with a focus on current PubMed articles, a thorough examination of updated diagnostic and treatment approaches was compared. Diagnostic techniques in the analysis and treatment of DLs continue to be limited to this day. Endoscopy remains as the main diagnostic and therapeutic tool; however, it continues to have its limitations. Other alternatives include but are not limited to angiography and surgical interventions which at times can be more successful. Diagnostic improvements and research for the detection of DL continue to advance; however, they remain limited in their capabilities. Further analysis and workup needs to be conducted in order to reduce hospital stay and improve survival.
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spelling pubmed-50405272016-10-26 The Diagnostic Dilemma of Dieulafoy’s Lesion Khan, Rafay Mahmad, Abdul Gobrial, Mark Onwochei, Francis Shah, Kunal Gastroenterology Res Review Dieulafoy’s lesion (DL) is a relatively rare condition which carries a significantly high risk for mortality. A tortuous large arteriole in the wall of the stomach can result in significant gastrointestinal (GI) hemorrhage which can result in detrimental complications. Although it only accounts for about 1% of all GI bleeding, it has been considered to be one of the most underrecognized conditions. This train of thought may unfortunately be related to the difficulty in its diagnosis. After conducting a Medline search of the medical literature, with a focus on current PubMed articles, a thorough examination of updated diagnostic and treatment approaches was compared. Diagnostic techniques in the analysis and treatment of DLs continue to be limited to this day. Endoscopy remains as the main diagnostic and therapeutic tool; however, it continues to have its limitations. Other alternatives include but are not limited to angiography and surgical interventions which at times can be more successful. Diagnostic improvements and research for the detection of DL continue to advance; however, they remain limited in their capabilities. Further analysis and workup needs to be conducted in order to reduce hospital stay and improve survival. Elmer Press 2015-08 2015-07-22 /pmc/articles/PMC5040527/ /pubmed/27785297 http://dx.doi.org/10.14740/gr671w Text en Copyright 2015, Khan et al. http://creativecommons.org/licenses/by/2.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Review
Khan, Rafay
Mahmad, Abdul
Gobrial, Mark
Onwochei, Francis
Shah, Kunal
The Diagnostic Dilemma of Dieulafoy’s Lesion
title The Diagnostic Dilemma of Dieulafoy’s Lesion
title_full The Diagnostic Dilemma of Dieulafoy’s Lesion
title_fullStr The Diagnostic Dilemma of Dieulafoy’s Lesion
title_full_unstemmed The Diagnostic Dilemma of Dieulafoy’s Lesion
title_short The Diagnostic Dilemma of Dieulafoy’s Lesion
title_sort diagnostic dilemma of dieulafoy’s lesion
topic Review
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5040527/
https://www.ncbi.nlm.nih.gov/pubmed/27785297
http://dx.doi.org/10.14740/gr671w
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