Duodenal and jejunal Dieulafoy’s lesions: optimal management

Tonguç Utku Yılmaz,1 Ramazan Kozan2 1Acibadem University Atakent Hospital, Organ Transplantation Unit, Istanbul, Turkey, 2Eren Hospital, General Surgery Unit, Istanbul, Turkey Abstract: Dieulafoy’s lesions (DLs) are rare and cause gastrointestinal bleeding resulting from erosion of dilated submucosal vessels. The most common location for DL is the stomach, followed by duodenum. There is little information about duodenal and jejunal DLs. Challenges for diagnosis and treatment of Dieulafoy’s lesions include the rare nature of the disease, asymptomatic patients, bleeding symptoms often requiring rapid diagnosis and treatment in symptomatic patients, variability in the diagnosis and treatment methods resulting from different lesion locations, and the risk of re-bleeding. For these reasons, there is no universal consensus about the diagnosis and treatment approach. There are few published case reports and case series recently published. Most duodenal DLs are not evaluated seperately in the studies, which makes it difficult to determine the optimal model. In this study, we summarize the general aspects and recent approaches used to treat duodenal DL. Keywords: Dieulafoy’s lesion, gastrointestinal bleeding, duodenum, endoscop