Aralik 2016
Dieulafoy lezyonunda endoskopik tedavi
Endoscopic treatment of Dieulafoy?s lesion
- Ana Sayfa
- Sayılar
- Aralik 2016
- Dieulafoy lezyonunda endoskopik tedavi...
Özet
Giris ve Amaç: Çalismamizda klinigimizde Dieulafoy Lezyonu tanisi konulan hastalari, yapilan endoskopik tedavileri ve bu tedavilerin basari oranlarini ortaya koymayi hedefledik. Gereç ve Yöntem: Klinigimizde 2008-2016 tarihleri arasinda endoskopileri yapilan hastalar ?Dieulafoy Lezyonu? tanisi için retrospektif olarak tarandi. Endoskopik tanisi Dieulafoy lezyonu olan hastalarin servis yatislari, laboratuvar degerleri, kaç gün yattiklari, hastaliklarinin nihai sonucu tespit edildi. Bulgular: 18 hasta çalismaya alindi. En sik basvuru sikayeti melenaydi. Hastalarin yedi tanesinde mortalite gerçeklesti. Klips, tek basina veya kombine olmak üzere en sik basvurulan endoskopik tedavi yöntemiydi. Klipsin tek basina uygulandigi hastalarla, klipsle beraber veya klips olmadan kombine tedavi uygulanan hastalar arasinda mortalite açisindan fark yoktu (p=0,9). Adrenalinle beraber heater yapilan olgular dislanarak yapilan subgrup analizinde klips uygulanan hastalarla klipsle beraber diger yöntemlerin yapildigi hastalar arasinda mortalite karsilastirildi. Iki grup arasinda yine mortalite açisindan bir fark yoktu (p=0,6). Sonuç: Çalismamiz klips tedavisine eklenecek adrenalin ve/veya heater koagü- lasyon gibi yöntemlerle yapilan kombine tedavinin mortaliteyi azaltmada klips monoterapisine kiyasla herhangi bir üstünlüklerinin olmadigini göstermistir.
Abstract
Background and Aims: This study describes the demographic features of patients with Dieulafoy?s lesion, their endoscopic findings, endoscopic treatments, and their response to therapy.Materials and Methods: Endoscopy reports were screened for Dieulafoy?s lesion between 2008 and 2016. Patients with this diagnosis were also screened to determine initial laboratory findings, endoscopic treatments, and response to therapy. Results: A total of 18 patients were diagnosed with Dieulafoy?s lesion. The most frequent presentation was melena. Seven patients died during the follow-up period. Clip was the most frequent endoscopic treatment method either alone or in combination with other endoscopic modalities. There was no difference in mortality between patients who were treated with clip alone and those treated with the combined modality (p=0.9). When patients treated with adrenalin and heater were excluded, no difference in mortality was observed between the clip group and the clip combined with other endoscopic treatment group (p=0.6). Conclusion: This study demonstrated that additional endoscopic methods such as adrenalin and/or heater did not reduce mortality compared with clip monotherapy
