Review
Copyright ©The Author(s) 2015.
World J Gastrointest Endosc. Apr 16, 2015; 7(4): 295-307
Published online Apr 16, 2015. doi: 10.4253/wjge.v7.i4.295
Table 5 Efficacy of endoscopic injection monotherapy for bleeding Dieulafoy’s lesions
Endoscopic procedure(No. of patients)Lesion locationType of studyFollow-upOutcomeRef.
Epinephrine injection
EGD (16)Stomach/duodenumProspective1 wk2 (12%) hemostasis failure, 5 (31%) rebled[78]
EGD (11) Colonoscopy (1)Stomach RectumRetrospective22 mo3 (27%) hemostasis failure, 4 (36%) rebled[73]
EGD (11)Stomach/duodenumRetrospective18 mo3 (27%) hemostasis failure, 2 (18%) rebled[88]
“Mostly” EGD (8)Mostly stomach/duodenumRetrospectiveHospitalizationNo rebleeding[36]
EGD (8)StomachProspective30 d6 (75%) rebled[76]
EGD (6)StomachRetrospective60 d2 (33%) hemostasis failure[40]
EGD (3) Colonoscopy (1)Stomach/duodenum cecum (1)Retrospective14 moNo rebleeding[35]
EGD (3)StomachRetrospective32 mo2 (66%) rebled[72]
Absolute ethanol injection
EGD (12)Stomach/duodenumRetrospective69 mo1 (8%) hemostasis failure, no rebleeding[89]
Ethanolamine injection
EGD (1)StomachRetrospective8 moRebled[72]