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Shin HJ, Ju JS, Kim KD, et al. Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract. Clin Endosc. 2015;48(3):228-33doi: 10.5946/ce.2015.48.3.228.
Shin, H. J., Ju, J. S., Kim, K. D., Kim, S. W., Kang, S. H., Kang, S. H., Moon, H. S., Sung, J. K., & Jeong, H. Y. (2015). Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract. Clinical endoscopy, 48(3), 228-33. https://doi.org/10.5946/ce.2015.48.3.228
Shin, Hae Jin, et al. "Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract." Clinical endoscopy vol. 48,3 (2015): 228-33. doi: https://doi.org/10.5946/ce.2015.48.3.228
Shin HJ, Ju JS, Kim KD, Kim SW, Kang SH, Kang SH, Moon HS, Sung JK, Jeong HY. Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract. Clin Endosc. 2015 May;48(3):228-33. doi: 10.5946/ce.2015.48.3.228. Epub 2015 May 29. PMID: 26064823; PMCID: PMC4461667.
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Clin Endosc. 2015 May;48(3):228-33. doi: 10.5946/ce.2015.48.3.228. Epub 2015 May 29.

Risk Factors for Dieulafoy Lesions in the Upper Gastrointestinal Tract.

Clinical endoscopy

Hae Jin Shin, Jong Seok Ju, Ki Dae Kim, Seok Won Kim, Sung Hoon Kang, Sun Hyung Kang, Hee Seok Moon, Jae Kyu Sung, Hyun Yong Jeong

Affiliations

  1. Department of Gastroenterology, Chungnam National University Hospital, Chungnam National University School of Medicine, Daejeon, Korea.

PMID: 26064823 PMCID: PMC4461667 DOI: 10.5946/ce.2015.48.3.228

Abstract

BACKGROUND/AIMS: The purpose of this study is to verify the risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

METHODS: A case-control study was performed by reviewing the electronic medical records of 42 patients who were admitted to a tertiary medical center in the Daejeon region for Dieulafoy lesions from September 2008 to October 2013, and the records of 132 patients who were admitted during the same period and who underwent endoscopic examination for reasons other than bleeding. We analyzed clinical and endoscopic findings retrospectively, and searched for risk factors associated with Dieulafoy lesion formation.

RESULTS: All 42 patients diagnosed with Dieulafoy lesion had accompanying bleeding, and the location of the bleeding was proximal in 25 patients (59.5%), the middle portion in seven patients (16.7%), and distal in 10 patients (23.8%). Antiplatelet agents (p=0.022) and alcohol (p=0.001) use showed statistically significant differences between the two groups. The odds ratios (95% confidence intervals) of the two factors were 2.802 (1.263 to 6.217) and 3.938 (1.629 to 9.521), respectively.

CONCLUSIONS: This study showed that antiplatelet agents and alcohol consumption were risk factors associated with Dieulafoy lesion formation in the upper gastrointestinal tract.

Keywords: Alcohols; Antiplatelet agents; Dieulafoy; Endoscopic treatment; Gastrointestinal bleeding

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