DOPPLER-CONTROLLED INJECTION TREATMENT OF DIEULAFOYS DISEASE

Dieulafoy's anomaly is a vascular malformation of the upper stomach, w hich typically causes massive and recurrent haemorrhage. Emergency end oscopy is the most effective method of diagnosing the disease. Until r ecently, the therapy of choice was surgical resection. Five patients w ith spontaneously stopped bleeding from Dieulafoy's ulceration were in vestigated. Transendoscopic Doppler ultrasound was used to identify ar terial blood flow from the lesions. Local injection treatment was perf ormed. Successful therapy resulted in the disappearance of arterial pu lsations and no rebleeding occurred. The endoscopic Doppler is of diag nostic value in the evaluation of Dieulafoy's ulcer and enables contro l of endoscopic sclerotherapy.