Surgical treatment of gastrointestinal bleeding caused by Dieulafoy disease of the small intestine: a case report and literature review

doi:10.3877/cma.j.issn.2095-7157.2022.02.018

Abstract

Abstract:

Dieulafoy disease is a hemorrhagic disease of the digestive tract caused by submucosal arterial malformation. It occurs in the lesser curvature of the stomach along the proximal part of the stomach near the cardia, but there are reports of the disease in the whole digestive tract. Among them, Dieulafoy disease of the small intestine is more common. Rare and difficult to diagnose. The first symptoms are mostly painless gastrointestinal bleeding, and even cause hemorrhagic shock to be discovered. Because the bleeding site is hidden, he diagnosis is difficult, and the medical treatment effect is poor, which often results in delayed treatment and easily endangers the patient's life. This article reports a case of Dieulafoy's disease of the jejunum diagnosed by endoscopy in our hospital and treated by surgery.

Key words: Dieulafoy disease of small bowel, Endoscopy, Eurgical treatment

Tian Jin, Ting Zhang, Xiuqing Li, Qide Zhang. Surgical treatment of gastrointestinal bleeding caused by Dieulafoy disease of the small intestine: a case report and literature review[J]. Chinese Journal of Gastrointestinal Endoscopy(Electronic Edition), 2022, 09(02): 100-103.

/ / Recommend

Add to citation manager EndNote|Ris|BibTeX

URL: https://zhwcnjdzzz.cma-cmc.com.cn/EN/10.3877/cma.j.issn.2095-7157.2022.02.018

https://zhwcnjdzzz.cma-cmc.com.cn/EN/Y2022/V09/I02/100

Figures/Tables 2

References 22

[1]	天俊，吴东海，张宏光，等．血管造影及栓塞技术在Dieulafoy病诊治中的价值[J].中华放射学杂志，2015，49(2)：130-132.
[2]	Baetting B, Haecki W, Lammer F，et al.Dieulafoy′s Disease：endoscopic treatment and folow up[J].Gut，1993，34(10)：1418-1421.
[3]	Dieulafoy G．Exulceratio simplex.L′intervention chirurgicale dans les hematemeses foudroyantes consecutive a 1′exulceration simple des l′estomac[J]. J Urban Health，1898: 49-84.
[4]	李戎，王成友．Dieulafoy病4例临床分析[J].罕少疾病杂志，2002，9(4)：51.
[5]	Fox A, Ravi K, Leeder PC，et al. Adult small bowel Dieulafoy lesion[J]. Postgrad Med J，2001，77(914): 783-784.
[6]	陈其奎，何光祥，朱兆华．消化疾病诊断学[M]，北京：人民卫生出版社2006，418.
[7]	Miko TL, Thomázy VA. The caliber persistent artery of the stomach: a unifying approach to gastric aneurysm, Dieulafoy′s lesion，and submucosal arterial malformation[J]. Human pathol，1988，19(8): 914-921.
[8]	陈定明，钟东. 小肠Dieulafoy病[J]. 罕少疾病杂志，2002，9(6)：30-30.
[9]	鲁重美，吕农华. 小肠血管病变合并出血的诊断和治疗：附16例报告[J]. 中华消化杂志，1997，17(2)：66-66.
[10]	Jain R, Chetty R. Dieulafoy disease of the colon[J].Arch Pathol Lab Med，2009，133：1865-1867.
[11]	Strong RW. Dieulafoy's disease a distinct clinical entity[J]. Aust NZ J Surg，1984，54(4): 337-339.
[12]	Van Zanten SJV, Bartelsman JF, Schipper ME，et al. Recurrent massive haematemesis from Dieulafoy vascular malformations a review of 101 cases[J]. Gut，1986，27(2): 213-222.
[13]	程骏，朱冠保，姚建高，等. 胃Dieulafoy病12例外科治疗体会[J]. 实用医学杂志，2005，21(18): 2054-2055.
[14]	Pennazio M, Santucci R, Rondonotti E, et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases[J]. Gastroenterology，2004，126(3): 643-653.
[15]	Hadithi M, Heine GDN, Jacobs MAJM, et al. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding[J]. Am J Gastroenterol，2006，101(1): 52-57.
[16]	Gerson LB, Fidler JL, Cave DR，et al. ACG clinical guideline: diagnosis and management of small bowel bleeding[J]. Am J Gastroenterol，2015，110(9): 1265-1287.
[17]	Pennazio M, Spada C, Eliakim R，et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline[J]. Endoscopy，2015，47(4): 352-386.
[18]	May A, Färber M, Aschmoneit I，et al. Prospective multicenter trial comparing push-and-pull enteroscopy with the single-and double-balloon techniques in patients with small-bowel disorders[J]. Am Coll Gastroenterol，2010，105(3): 575-581.
[19]	May A, Manner H, Aschmoneit I，et al. Prospective，cross-over，single-center trial comparing oraldouble-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations[J].Endoscopy，2011，43(6): 477-483.
[20]	Takano N, Yamada A, Watabe H，et al. Single-balloon versus double-balloon endoscopy for achieving total enteroscopy: a randomized，controlled trial[J]. Gastrointest Endosc，2011，73(4): 734-739.
[21]	鞠香丽，徐秀英．不明原因消化道出血45例分析[J]. 胃肠病学和肝病学杂志，2015，31(4)：466-467.
[22]	Dulic-Lakovic E, Dulic M, Hubner D，et al. Bleeding Dieulafoy lesions of the small bowel: A systematic study on the epidemiology and efficacy of enteroscopic treatment[J]. Gastrointest Endosc，2011，74(3)：573-580.

Please choose a citation manager

Content to export