Endoscopic full-thickness resection to treat active Dieulafoy's disease: A case report  

作　　者：Shan Yu Xiao-Ming Wang Xin Chen Hong-Yan Xu Guang-Jie Wang Na Ni Yu-Xin Sun 

机构地区：[1]Department of Gastroenterology,Panzhihua Central Hospital,Panzhihua 617067,Sichuan Province,China

出　　处：《World Journal of Gastroenterology》2020年第30期4557-4563,共7页世界胃肠病学杂志（英文版）

摘　　要：BACKGROUND At present,minimally invasive endoscopic treatment is mostly used for patients with actively bleeding Dieulafoy’s lesions,,as it has the advantages of minimal trauma,short operation time and good hemostatic effect,although bleeding can easily recur postoperatively.Recently,extensive gastric cuneiform resection has been advocated for use in these patients because the constant-diameter artery follows a long path to the gastric mucosa.CASE SUMMARY A 47-year-old man was admitted to the hospital for repeated hematemesis and black stool,and he was diagnosed with Dieulafoy’s disease.We chose a method that not only simulates surgical gastric cuneiform resection but also reduces trauma.We performed enlarged local endoscopic full-thickness resection of the gastric wall and abdominal constant-diameter artery and sutured the gastric wall.Postoperative follow-up showed that the constant-diameter artery had been resected from the gastric wall,which was confirmed to have no blood flow signals by endoscopic ultrasonography.CONCLUSION Endoscopic full-thickness resection of the gastric wall and abdominal constantdiameter artery with suturing of the gastric wall has demonstrated potential as a new treatment for Dieulafoy's disease.

关 键 词：Dieulafoy’s disease Endoscopic full-thickness resection Ultrasound gastroscopy Case report 

分 类 号：R656[医药卫生—外科学]