Hybrid surgical technologies in the treatment of patients with Dieulafoy’s lesion complicated by recurrent gastrointestinal bleeding

Voskanyan S.Ae.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Shabalin M.V.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Artem'ev A.I.

FGBU "Federal'nyĭ meditsinskiĭ biofizicheskiĭ tsentr im. A.I. Burnaziana" FMBA Rossii, Moskva

Kolyshev I.Yu.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Bogoevich Z.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Bashkov A.N.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Naidyonov E.V.

State Research Center of the Russian Federation - Burnazyan Federal Medical Biophysical Center, FMBA of Russia, Moscow, Russia

Hybrid surgical technologies in the treatment of patients with Dieulafoy’s lesion complicated by recurrent gastrointestinal bleeding

Authors:

Voskanyan S.Ae., Shabalin M.V., Artem'ev A.I., Kolyshev I.Yu., Bogoevich Z., Bashkov A.N., Naidyonov E.V.

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Journal: Endoscopic Surgery. 2020;26(1): 40‑43

DOI: 10.17116/endoskop20202601140

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To cite this article:

Voskanyan SAe, Shabalin MV, Artem'ev AI, Kolyshev IYu, Bogoevich Z, Bashkov AN, Naidyonov EV. Hybrid surgical technologies in the treatment of patients with Dieulafoy’s lesion complicated by recurrent gastrointestinal bleeding. Endoscopic Surgery. 2020;26(1):40‑43. (In Russ.)
https://doi.org/10.17116/endoskop20202601140

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A clinical case of hybrid surgical treatment in a 40-year-old patient is presented for a Dieulafoy’s lesion complicated by recurrent gastrointestinal bleeding. The use of computed tomographic angiography was the leading method for diagnosing this anomaly. As a result of using endoscopic control during laparoscopy, it was possible to accurately localize the affected area of the stomach wall Performing an sparing stomach resection did not lead to the complications development and allowed to effectively and radically eliminate the source of bleeding minimally invasively. The time duration of surgery was 90 minutes, the volume of blood loss was 10 ml. No recurrence of gastrointestinal bleeding has been reported at this time. The use of hybrid surgical technologies (laparoscopic stomach resection under the gastroscopy control) made it possible to accurately localize the affected area of the stomach wall, which made it possible to perform the operation minimally invasively in this patient. Final conclusions require further research.

Keywords:

hybrid surgical technologies

Dieulafoy’s lesion

recurrent gastrointestinal bleeding

Authors:

Voskanyan S.Ae.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Shabalin M.V.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Artem'ev A.I.

FGBU "Federal'nyĭ meditsinskiĭ biofizicheskiĭ tsentr im. A.I. Burnaziana" FMBA Rossii, Moskva

Kolyshev I.Yu.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Bogoevich Z.

Burnasyan Federal Medical Biophysical Center of FMBA, Moscow, Russia

Bashkov A.N.

State scientific center, Federal medical biophysical center named after A.I. Burnasyan, Federal medico-biological agency, Moscow, Russia

Naidyonov E.V.

State Research Center of the Russian Federation - Burnazyan Federal Medical Biophysical Center, FMBA of Russia, Moscow, Russia

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