COMBINED USE OF LAPAROSCOPY AND ENDOSCOPY IN DIAGNOSING AND TREATING DIEULAFOY VASCULAR MALFORMATIONS OF THE STOMACH

We present the case of a 70-year-old female successfully treated for a bleeding Dieulafoy's gastric lesion with a combined laparoscopic/endo scopic approach. An increasing percentage of surgery is now being perf ormed laparoscopically and the authors feel that combined laparoscopic /endoscopic surgery offers advantages to the patient over either of th ese methods individually and over open surgery. This report demonstrat es that a bleeding point anywhere on the gastric wall is amenable to l aparoscopic intervention if the localization techniques we describe ar e utilized.