PMC10184036_01
Diagnosis and treatment of DL in ileum under DBE. (A) DBE via anal route showed active pulsatile bleeding in the upper part of ileum; (B) three hemostatic clips were locally placed and 25,000 U thrombin was sprayed on this lesion to effectively treat this disease. DL, Dieulafoy's lesion; DBE, double-balloon enteroscopy.
tgh-08-22-14-f1.jpg
PMC10184036_01_tgh-08-22-14-f1.jpg
f1
DBE via anal route was performed by an experienced endoscopist (F Gao), and showed active pulsatile bleeding in the upper part of ileum, without underlying ulcer, but with normal mucosa around the small defected mucosal lesions, which is consistent with a diagnosis of DL (Figure 1A). Then, 3 hemostatic clips were locally placed and 25,000 U thrombin was sprayed on the lesion to effectively treat this disease (Figure 1B).