ArticleEndoscopy international open2015
A single-center United States experience with bleeding Dieulafoy lesions of the small bowel: diagnosis and treatment with single-balloon enteroscopy.
Article in Endoscopy international open, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 23 citations in OpenAlex.
- Jejunal Dieulafoy's Lesion: A Systematic Review of Evaluation, Diagnosis, and Management.Journal of investigative medicine high impact case reportsPooled it
- Clinical characteristics of Dieulafoy's lesion in the small bowel diagnosed and treated by double-balloon endoscopy.BMC gastroenterology · 2023Article
- Inpatient outcomes of Dieulafoy's lesions in the United States.Proceedings (Baylor University. Medical Center) · 2022Article
- Small Bowel Enteroscopy - A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups.GE Portuguese journal of gastroenterology · 2020Article
- A rare case of Goodpasture syndrome concomitant with bleeding jejunal Dieulafoy's lesion.Clinical journal of gastroenterology · 2020Article
- Diagnosis and therapeutic strategies for small bowel vascular lesions.World journal of gastroenterology · 2019Review
- Effect of Double-Balloon Enteroscopy on Diagnosis and Treatment of Small-Bowel Diseases.Chinese medical journal · 2018Article
- Dieulafoy's lesion of the duodenum: a comparative review of 37 cases.BMJ case reports · 2018Review
- Dieulafoy's lesion of the colon and rectum: a case series and literature review.BMJ case reports · 2017Article
- Duodenal and jejunal Dieulafoy's lesions: optimal management.Clinical and experimental gastroenterology · 2017Review
- Culprit for recurrent acute gastrointestinal massive bleeding: "Small bowel Dieulafoy's lesions" - a case report and literature review.World journal of gastrointestinal pathophysiology · 2016Article
- Management of small bowel angioectasias diagnosed during video capsule endoscopy.Annals of gastroenterologyReview
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
Abstract
introductionA Dieulafoy lesion (DL) of the small bowel can cause severe gastrointestinal bleeding, and presents a difficult clinical setting for endoscopists. Limited data exists on the therapeutic yield of treating DLs of the small bowel using single-balloon enteroscopy (SBE).
methodsData were collected from Tampa General Hospital a 1 018-bed teaching hospital affiliated with University of South Florida in Tampa, Florida. Patients were selected from a database of patients that underwent SBE from January 2010 - August 2013.
resultsEight patients were found to have DL an incidence of 2.6 % of 309 SBE performed for obscure gastrointestinal bleeding. 7/8 were identified in the jejunum, with one found in the duodenum. The mean age of patients with DL was 71.5 years old. 6/8 patients were on some form of anticoagulant/antiplatelet agent. The primary modality of therapy employed was electrocautery, multipolar electrocoagulation in seven patients and APC (argon plasma coagulation) in one patient. In three patients, electrocoagulation was unsuccessful and hemostasis was achieved with clip placement. Three patients required repeat SBE with one found to have rebleeding from a failed clip with hemostasis achieved upon reapplication of one clip.
conclusionIn our United States' experience, SBE offers a reasonable therapeutic approach to treat DL of the small bowel with low rates of rebleeding, no adverse events, and no patient requiring surgery.
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Registered trials
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