台灣外科醫學會雜誌

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篇名	Multidisciplinary team approach for treating recurrent gastrointestinal bleeding caused by a Dieulafoy lesion
作者	Tamara Lezama, Liam Phelan, Jitesh Parmar, Sharad Karandikar
卷期/出版年月	57卷1期 (2024/1)
頁次	25-27
摘要	A Dieulafoy lesion is a histologically normal arteriole whose lumen diameter persists along the entirewall of its end organ. They are reported to account for 1%to 2%of all gastrointestinal bleeds. The etiology is largely unknown, with some reports of lesions in children suggesting a congenital origin (Ann R Coll Surg Engl 2010;92(7):548–554). Mortality rates are approximately 10% compared with the previous rate of 80%, and this is attributed to the vast advancement in endoscopic techniques. This case highlights the need formultidisciplinary team approach to the assessment and management of these patients and investigation with the breadth of modalities available. The potential for open operative intervention by emergency surgical teams needs to be identified early in cases whereminimal access measures are unable to gain definitive control.
關鍵詞	Capsule endoscopy; Dieulafoy lesion; Intraoperative enteroscopy
分類	Case Report