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World J Gastroenterol. Jun 14, 2013; 19(22): 3505-3507
Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3505
Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3505
Mini-loop ligation of a bleeding duodenal Dieulafoy's lesion
Marija Gomerčić Palčić, Neven Ljubičić, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical and Dental Faculty, “Sestre Milosrdnice” University Hospital Center, University of Zagreb, 10000 Zagreb, Croatia
Author contributions: Gomerčić Palčić M collected the data and design and wrote the paper; Ljubičić N analyzed the data, drafted the article and approved the version to be published.
Correspondence to: Marija Gomerčić Palčić, MD, Division of Gastroenterology and Hepatology, Department of Internal Medicine, Medical and Dental Faculty, “Sestre Milosrdnice” University Hospital Center, University of Zagreb, Vinogradska 29, 10000, Zagreb, Croatia. marijagomercic@yahoo.com
Telephone: +385-1-3787448 Fax: +385-1-3787448
Received: January 15, 2013
Revised: March 4, 2013
Accepted: March 15, 2013
Published online: June 14, 2013
Revised: March 4, 2013
Accepted: March 15, 2013
Published online: June 14, 2013
Core Tip
Core tip: This is a case of 61-year-old woman who presented with upper gastrointestinal hemorrhage caused by duodenal Dieulafoy’s lesion that presented with blood oozing from the normal mucosa on upper endoscopy. Complete hemostasis was achieved using a mini-loop ligation without a mucosal lesion, such as ulceration, on two month follow-up endoscopy. Thus, mini-loop ligation is an effective, easy to use and safe method for the treatment of Dieulafoy’s lesion. However, case reports with longer follow-up are needed for a definitive statement because of the substantial risk of re-bleeding from a residual aberrant artery.