Endoscopic treatment and follow-up of gastrointestinal Dieulafoy's lesions

Table 1 Clinical characteristics, endoscopic data, and after endoscopic therapy of patients with acute bleeding from Dieulafoy’s lesion in GI tract

N	Sex	Age	Location	Bleeding symptom	Hb g/L	Transfusion (RBC)	Medical history	Endoscopic picture of bleeding	Type of therapy	Hemostasis	Rebleeding	Outcome
1	F	84	Fundus	Melena	98	3	Heart failure, hypertension	Oozing	Dextrose 50%+EPI (7 cm3)	Successful	No	Discharge
2	F	54	Upper gastric body	Hematemesis/melena	117	1	–	Spurting	Dextrose 50%+EPI (6 cm3)	Failure	–	Operation
3	F	42	Rectum	Rectal bleeding	121	–	–	Oozing	Dextrose 50%+EPI (7 cm3)	Successful	No	Discharge
4	M	72	Jejunum	Hematemesis/melena	96	3	Hypertension, angina	Visible vessel	Dextrose 50%+EPI (7 cm3)	Successful	Yes	Operation/death
5	M	48	Descending duodenum	Melena	117	–	–	Visible vessel	Dextrose 50%+EPI (8 cm3)	Successful	No	Discharge
6	M	69	Gastric body	Hematemesis/melena	78	8	Angina, BII gastrectomy	Spurting	Dextrose 50%+EPI (9 cm3)	Successful	Yes	Operation/discharge
7	M	86	Upper gastric body	Melena	104	2	Hypertension, Angina	Visible vessel	Dextrose 50%+EPI (7 cm3)	Successful	No	Discharge
8	F	81	Fundus	Melena	87	4	Hypertension, heart failure	Oozing	Dextrose 50%+EPI (8 cm3)	Successful	No	Discharge
9	M	82	Fundus	Hematemesis/melena	78	8	Heart failure	Visible vessel	Dextrose 50%+EPI (8 cm3)	Successful	Yes	Operation/discharge
10	M	83	Gastric body	Hematemesis/melena	96	3	Heart failure	Visible vessel	Dextrose 50%+EPI (8 cm3)	Successful	Yes	Discharge
11	F	72	Fundus	Melena	77	6	Hypertension	Visible vessel	Ethanolamine oleate (9 cm3)	Successful	No	Discharge
12	M	66	Upper gastric body	Melena	106	2	Gout, hypertension	Visible vessel	Ethanolamine oleate (6 cm3)	Successful	No	Discharge
13	M	79	Upper gastric body	Melena	92	4	Hypertension, angina	Visible vessel	EPI+HP (8´30 J)	Successful	No	Discharge
14	M	74	Fundus	Hematemesis/melena	98	3	Renal failure, gout, diabetes	Visible vessel	EPI+HP (6´30 J)	Successful	No	Discharge
15	M	48	Antrum	Melena	110	1	–	Oozing	EPI+3 hemoclips	Successful	No	Discharge
16	M	60	Antrum	Hematemesis/melena	104	3	Duodenal ulcer	Oozing	EPI+4 hemoclips	Successful	No	Discharge
17	M	65	Antrum	Melena	103	2	Diabetes, hypertension	Spurting	EPI+3 hemoclips	Successful	No	Discharge
18	M	67	Sigmoid colon	Rectal bleeding	115	2	Colonic polyps	Oozing	EPI+4 hemoclips	Successful	No	Discharge
19	M	74	Sigmoid	Rectal bleeding	113	2	Angina	Oozing	EPI+3 hemoclips	Successful	No	Discharge
20	M	84	Fundus	Hematemesis/melena	88	4	Heart failure, aorto-iliac bypass	Two visible vessels	4 hemoclips	Successful	No	Discharge
21	F	79	Gastric body	Melena	118	1	Hypertension	Visible vessel	2 hemoclips	Successful	No	Discharge
22	M	75	Gastric body	Melena	103	2	Heart failure	Visible vessel	2 hemoclips	Successful	No	Discharge
23	M	72	Gastric body	Hematemesis/melena	100	3	BII gastrectomy angina	Visible vessel	Inability to approach the visible vessel	–	–	Operation/discharge

EPI, epinephrine solution 1:10 000.

Table 2 Outcome of endoscopic therapy in injection and mechanical groups, n (%)

Parameters	Injection group	Mechanical group	P
Initial hemostasis	11 (92.5)	8 (100)	ns
Recurrent bleeding	4 (33.3)	0 (0)	<0.01
Permanent hemostasis	8 (66.6)	8 (100)	<0.01
Operation	4 (33.3)	0 (0)

NS, non significant