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Transgastric laparoscopic approach for resection of hemorrhagic Dieulafoy’s vascular malformation

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Abstract

We report the case of a successfully resected hemorrhagic Dieulafoy’s vascular malformation using a transgastric laparoscopic approach. A 37-year-old man was admitted for hematemesis and anemia. Emergency endoscopy revealed active hemorrhage from a submucosal vascular malformation in the posterior gastric wall. Dieulafoy’s disease was suspected. It was initially treated by repeated endoscopy. Due to recurrent bleeding, on day 3 the patient was scheduled for surgery. The laparoscopic treatment consisted of an anterior gastrotomy, followed by extirpation and resection of the lesion after evaluation of the gastro-esophageal junction. There was no need for intraoperative endoscopy. To our knowledge, this is the first description of the application of a transgastric laparoscopic approach for the management of a hemorrhagic Dieulafoy’s vascular malformation.

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Authors and Affiliations

  1. Department of Surgery, Antoine Béclère Hospital, University of Paris XI, 157 rue de la Porte de Trivaux, 592141 Clamart Cedex, France

    J. M. Proske & C. Vons

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  1. J. M. Proske
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  2. C. Vons
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Correspondence to C. Vons.

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Proske, J., Vons, C. Transgastric laparoscopic approach for resection of hemorrhagic Dieulafoy’s vascular malformation. Surg Endosc 18, 554–556 (2004). https://doi.org/10.1007/s00464-003-4256-3

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  • DOI: https://doi.org/10.1007/s00464-003-4256-3

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