<prompt> All are true about Dieulafoys lesion except:Angiographic embolization is the preferred treatmentEndoscopic treatment can be givenPulsation of artery causes ulcerationSubmucosal artery  <response>: Ans. a Angiographic embolization is the preferred treatmentRef: Sabiston 19th Edition, Page 1168 Dieulafoys lesion is most common in lesser curve near cardia 6cm from OG junction Dilated tortuous artery bleeding in submucosa It is a branch from left gastric Artery Painless massive hemorrhage occurs Treatment Protocol: 1st - Endoscopic sclerosant and thermal therapy is tried first. Mostly it seems successful in 80 to 100 cases. 2nd - Angiographic embolization with coils done if step 1 fails. 3rd - Final step gastric wedge resection with bleeding vessel. 