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| 1 | Bleeding Dieulafoy's-like lesions of the gut identified by capsule endoscopy显示文摘Dieulafoy's-like lesions (DLs-like) represent a cause of obscure gastrointestinal bleeding, enteroscopy being the main diagnostic and therapeutic procedure. Frequently, more than one enteroscopy is needed to identify the bleeding vessel. In our practice, video capsule endoscopy (VCE) identified and guided therapy in four cases of DLs-like; three of them were localized on the small bowel. We report, for the first time, a diagnosis of colonic DL-like performed by colon capsule endoscopy. Two patients presented with severe cardiovascular disorders, being hemodynamically unstable during VCE examination. Based on the VCE findings, only one invasive therapeutic procedure per patient was necessary to achieve hemostasis. VCE and enteroscopy may be regarded as complementary procedures in patients with gut DLs-like. | Lidia Ciobanu Oliviu Pascu Brindusa Diaconu Daniela Matei Cristina Pojoga Marcel Tantu | 2013 | World Journal of Gastroenterology2013，19，29： | 8 |
| 2 | Dieulafoy病合并消化道大出血的诊治策略显示文摘目的探讨Dieulafoy病引起的消化道大出血的临床诊治体会。方法回顾性分析收治的经内镜、手术以及病理等方式确诊的31例消化道Dieulafoy病的临床资料并结合文献进行分析。结果Dieulafoy病发生于空肠1例,十二指肠降段2例,胃底5例,胃体小弯侧近贵门处23例。主要表现为突发间歇性和/或持续性的大量呕血、黑便和休克。31例有17例通过急诊胃镜检查确诊,17例行内镜下止血治疗有11例暂时止血成功,全部病例均行手术治疗并经手术及病理证实,手术方法为缝扎止血、局部病灶楔形切除及胃大部切等,无死亡病例。结论Dieulafoy病易引起突发的消化道大出血,出血后在抗体克同时尽快急诊内镜检查是明确本病的首选方法,在内镜检查的同时可先予内镜下止血,但内镜诊治受很多主客观因素的限制,在基层医院最终仍以选择手术治疗为稳妥. | 赵象文 梁志宏 汤治平 江雪峰 丁纪伟 | 2009 | 中国医师杂志2009，11，12： | 0 |
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