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What is All are true about Dieulafoy's lesion except: and explain in detail?
Ans. (a) Angiographic embolization is the preferred treatmentRef: Sabiston 19th Edition, Page 1168* Dieulafoy's 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.