Dieulafoy's Lesion

Question 1

What is a Dieulafoy’s Lesion?

Answer 1

An arteriorole that can be found anywhere in the submucosa of the GI tract. It can potentially erode and bleed

Question 2

What are the characteristics of a dieulafoy’s lesion?

Answer 2

• Arteriole
• Found in submucosa
• Torturous artery
• Commonly found in the GEJ
• 1-5mm
• No branches

Question 3

What are the signs and symptoms of a dieulafoy’s lesion?

Answer 3

• Haematemesis
• Anaemia
• Melena

Question 4

What is used for the diagnosis of a Dieulafoy’s lesion?

Answer 4

1. Endoscopy

2. Angiogram

Question 5

What is the management?

Answer 5

1. Epinephrine injection
2. Diathermy
3. Sclerotherapy
4. Laser photocoagulation
5. Banding and clipping

Question 6

What is the treatment if it is refractory?

Answer 6

Angiogram embolisation