Published online Jun 14, 2013. doi: 10.3748/wjg.v19.i22.3505
Revised: March 4, 2013
Accepted: March 15, 2013
Published online: June 14, 2013
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.