Endoscopic management and follow-up of bleeding Dieulafoy’s lesions

Abstract

Aims Dieulafoy's lesion (DL), defined as a vascular abnormality of the gastrointestinal (GI) tract, is a rare cause of active, recurrent, and unexplained gastrointestinal (GI) bleeding. DL may be responsible for 1% to 2% of all acute GI hemorrhage and up to 6% of non-variceal GI bleeding. Stomach, is by far the most common site of DL. We investigate retrospectively the clinical and endoscopic features and we review the effectiveness of endoscopic management of bleeding DLs. We also aimed to identify recurrence and mortality rate in our endoscopic unit.