Download PDF
Endoscopy 2001; 33(7): 636-638
DOI: 10.1055/s-2001-15322
Case Report

© Georg Thieme Verlag Stuttgart · New York

Endosonography-Guided Endoscopic Band Ligation of Dieulafoy’s Malformation: A Case Report

G. Folvik, L. B. Nesje, A. Berstad, S. ødegaard
  • Division of Gastroenterology, Department of Medicine, Haukeland University Hospital, University of Bergen, Bergen, Norway
Further Information

Publication History

Publication Date:
31 December 2001 (online)

Also available at
    Permissions and Reprints

Dieulafoy’s vascular malformation may cause serious upper gastrointestinal hemorrhage. The mucosal lesion is usually small, and precise location of the lesion may therefore be difficult. We report a case of Dieulafoy’s lesion successfully treated by endoscopic band ligation (EBL) where endoscopic ultrasonography (EUS), including Doppler examination, was applied for accurate diagnosis, guiding EBL and control of treatment.

References

  • 1 Fockens P, Tytgat G N. Dieulafoy’s disease.  Gastrointest Endosc Clin N Am. 1996;  6 (4) 739-752
    PubMedGoogle Scholar
  • 2 Norton I D, Petersen B T, Sorbi D, et al. Management and long-term prognosis of Dieulafoy lesion.  Gastrointest Endosc. 1999;  50 (6) 762-767
    CrossrefPubMedGoogle Scholar
  • 3 Fockens P, Meenan J, van Dullemen H M, et al. Dieulafoy’s disease: endosonographic detection and endosonography-guided treatment.  Gastrointest Endosc. 1996;  44 437-442
    CrossrefPubMedGoogle Scholar
  • 4 Nesje L B, Skarstein A, Matre K, et al. Dieulafoy’s vascular malformation: role of endoscopic ultrasonography in therapeutic decision-making.  Scand J Gastroenterol. 1998;  33 104-108
    CrossrefPubMedGoogle Scholar
  • 5 Baettig B, Haecki W, Lammer F, Jost R. Dieulafoy's disease: endoscopic treatment and follow up.  Gut. 1993;  34 1418-1421
    CrossrefPubMedGoogle Scholar
  • 6 Laine L, Cook D. Endoscopic ligation compared with sclerotherapy for treatment of oesophageal variceal bleeding. A meta-analysis.  Ann Intern Med. 1995;  123 280-287
    PubMedGoogle Scholar
  • 7 Abi-Hanna D, Williams S J, Gillespie P E, Bourke M J. Endoscopic band ligation for non-variceal non-ulcer gastrointestinal haemorrhage.  Gastrointest Endosc. 1998;  48 (5) 510-514
    PubMedGoogle Scholar
  • 8 McGrath K, Mergener K, Branch S. Endoscopic band ligation of Dieulafoy’s lesion: report of two cases and review of literature.  Am J Gastroenterol. 1999;  94 (4) 1087-1090
    CrossrefPubMedGoogle Scholar
  • 9 Wong R M, Ota S, Katoh A, et al. Endoscopic liagtion for non-oesophageal variceal upper gastrointestinal haemorrhage.  Endoscopy. 1998;  30 (9) 774-777
    PubMedGoogle Scholar
  • 10 ødegaard S, Kimmey M B, Cheung A HS, et al. High frequency endosonography of gastrointestinal arteries: potential and limitations defined in vitro.  Eur J Ultrasound. 1995;  2 313-319
    CrossrefPubMedGoogle Scholar

G. Folvik, M.D.

Division of Gastroenterology
Department of Medicine
Haukeland University Hospital

Fax: 5021 Bergen

Fax: Norway

Fax: Fax:+ 47-55972950

Email: E-mail:gefo@haukeland.no