Emergency endoscopic ligation in bleeding Dieulafoy lesions Experience in the application.docVIP

 PAGE \* MERGEFORMAT 12 Emergency endoscopic ligation in bleeding Dieulafoy lesions Experience in the application Of: Li Xueqian, Huang Youming, Sun Yin-long river bank, Remembrance, Xue-Mei Chen, Liao Xiumin, Xie Lijun [Abstract] Objective To evaluate the endoscopic band ligation (EBL) treatment of bleeding Dieulafoy lesions of the clinical efficacy and safety. Methods 11 patients were treated using EBL treatment of bleeding Dieulafoy lesions. Results 11 patients were successful ligation, early bleeding 1 case was 100.00% after 24h of rebleeding, rebleeding rate was 9.09%, after re-ligation after the bleeding stopped, surgical transfer rate of 0. follow-up of 18 months, no occurrence of upper gastrointestinal bleeding, long-term hemostatic rate was 100%. Conclusion EBL is the endoscopic treatment of bleeding Dieulafoy lesions of a safe and effective method. [Keywords:] Dieulafoy bleeding rubber band ligation Gastrointestinal Endoscopy Gastric artery diameter under the constant bleeding (Dieulafoy is a rare cause of upper gastrointestinal bleeding in one of the reasons. Our hospital from 2004 to 2008 11 patients were treated since, the use of endoscopic band ligation (EBL) treatment of bleeding Dieulafoy lesions, achieved good results, are as follows. 1 Data and methods 1.1 General information on 11 patients, 8 males and 3 females, aged 23 to 50 years, mean 34 years old. Initial cases in 9 cases, 2 cases of recurrent cases, all patients had no history of liver disease and no history of peptic ulcer. with vomiting as the first symptom in 7 cases, the black will be the first symptom in 4 cases. melena volume of between 250 ~ 1000g. hematemesis capacity ranging from 300 ~ 1500ml. associated with the performance of 4 cases of shock. All patients had no significant incentives, and in the endoscopic diagnosis. endoscopic diagnostic criteria 1.2 from superficial mucosal erosion or ulceration small ( 3mm) or normal mucosa of the arterial spray of