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DOI: 10.1055/s-2002-35835
© Georg Thieme Verlag Stuttgart · New York
Endoscopic Band Ligation for Rectal Dieulafoy's Lesion: Serial Endoscopic Images
K. Akahoshi, M.D., Ph.D.
Department of Gastroenterology, Aso Iizuka Hospital
3-83 Yoshio, Iizuka 820-8505, Japan
Fax: + 81-948-298747
Email: kakahoshih1@aih-net.com
Publication History
Publication Date:
02 December 2002 (online)
Figure 1 An 85-year-old Japanese woman with rectal Dieulafoy's lesion presented with fresh blood hematochezia. Colonoscopy revealed a 5 mm shallow mucosal defect with an exposed vessel in the anterior wall of the lower rectum.
Figure 2 A gastroduodenoscope with an attached single-band ligator was employed, and 4 ml of hypertonic saline epinephrine solution was injected beneath the lesion. After endoscopic band placement, the hemorrhage stopped completely. Note that the Dieulafoy's lesion had been wholly encased by the band.
Figure 3 Endoscopy at 1 week after the procedure revealed a 10 mm wide shallow ulcer at the site of the lesion. The O-ring remained on the ulcerated lesion.
Figure 4 Follow-up colonoscopy (at 2 weeks) showed an ulcer scarring. No further bleeding has occurred during 6 months of follow-up.
K. Akahoshi, M.D., Ph.D.
Department of Gastroenterology, Aso Iizuka Hospital
3-83 Yoshio, Iizuka 820-8505, Japan
Fax: + 81-948-298747
Email: kakahoshih1@aih-net.com
K. Akahoshi, M.D., Ph.D.
Department of Gastroenterology, Aso Iizuka Hospital
3-83 Yoshio, Iizuka 820-8505, Japan
Fax: + 81-948-298747
Email: kakahoshih1@aih-net.com
Figure 1 An 85-year-old Japanese woman with rectal Dieulafoy's lesion presented with fresh blood hematochezia. Colonoscopy revealed a 5 mm shallow mucosal defect with an exposed vessel in the anterior wall of the lower rectum.
Figure 2 A gastroduodenoscope with an attached single-band ligator was employed, and 4 ml of hypertonic saline epinephrine solution was injected beneath the lesion. After endoscopic band placement, the hemorrhage stopped completely. Note that the Dieulafoy's lesion had been wholly encased by the band.
Figure 3 Endoscopy at 1 week after the procedure revealed a 10 mm wide shallow ulcer at the site of the lesion. The O-ring remained on the ulcerated lesion.
Figure 4 Follow-up colonoscopy (at 2 weeks) showed an ulcer scarring. No further bleeding has occurred during 6 months of follow-up.