Clinical presentation and endoscopic management of Dieulafoy’s lesions in an urban community hospital

Table 1 Analysis of EGDs findings performed at Wyckoff Heights Medical Center between June 2000 and September 2006

Findings	Hematemesisand or Melena(Total 834)	Melena(Total 460)	Hematochezia(Total 330)	All Indications(14 000)
AVM	3	10	2	N/A
Esophagitis	206	122	63	N/A
Gastritis	589	360	281	N/A
MW tear	18	22	2	N/A
Tumor	9	4	0	N/A
Ulcer	245	198	71	N/A
Varices	128	45	15	N/A
Dieulafoy’s Lesion	11	1	1	15

Table 2 Summary of 15 cases with Dieulafoy’s Lesion treated at Wyckoff Heights Medical Center between June 2000 and September 2006

Patient	Age (yr)	Hgb atPresentation(gm/dL)	Location ofDieulafoy’sLesion	EndoscopicTreatment
1	76	7.6	Esophagus	Epinephrine
2	81	7.9	Esophagus	Epi + Heater Probe
3	87	11.2	Cardia of Stomach	Epinephrine
4	90	9.8	Body of Stomach	Epinephrine
5	92	10	Cardia of Stomach	Epinephrine
6	78	11.2	Fundus of Stomach	Epi + Heater Probe
7	68	7	Body of Stomach	Epi + Heater Probe
8	73	10.3	Body of Stomach	Epi + Heater Probe
9	79	11.3	Body of Stomach	Epi + Heater Probe
10	71	9.9	Body of Stomach	Heater Probe
11	61	11.2	Body of Stomach	Epi + Heater Probe
12	84	8.8	Body of Stomach	Epi + Heater Probe
13	80	7.8	Duodenum	Epinephrine
14	82	8.7	Fundus	Epi + Endoclip
15	86	9	Fundus	Epi + Endoclip