The Experts below are selected from a list of 153 Experts worldwide ranked by ideXlab platform
Lai Xue-zhen - One of the best experts on this subject based on the ideXlab platform.
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Endoscopic titanium clips closure combined with local injection of adrenalin to treat Dieulafoy Disease on upper digestive tract.
Hainan Medical Journal, 2010Co-Authors: Lai Xue-zhenAbstract:Objective To explore the clinical effect of endoscopic titanium clips closure combined with local injection of adrenalin to treat Dieulafoy Disease on upper digestive tract.Methods 42 cases of patients suffering from hematemesis and/or roiding melema,were diagnosed surely as Dieulafoy Disease on upper digestive tract after emergency endoscopic examination,of which 8 cases on the lower part of esophagus ,4 cases fundus of stomach ,5 cases body of stomach,3 cases antrum of stomach,4 cases bulbus of duodenum,3cases connection of bulbus and descending part of duodenum,5 cases descending part of duodenum. Dieulafoy lesions were treated with endoscopic titanium clips closure combined with local injection of 1:10 000 adrenalin. The patients re-bleeding after endoscopic treatment were repeated the above method. Surgical treatment was used on the patients who bleed after endoscopic treatment twice.Results 42 cases stopped bleeding immediately after endoscopic hemostasis (100%),of which 5 cases (11.9%) were conducted second time,and 2 cases stopped bleeding. The total effectiveness rate was 92.85%. 3 cases (7.15%) were transformed to surgical department for surgical operation because of lacking effect.Conclusion Endoscopic titanium clips closure combined with local injection of adrenalin is a safety and effective methods to treat Dieulafoy Disease on upper digestive tract with minimal trauma.
M. Fartoukh - One of the best experts on this subject based on the ideXlab platform.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series-0
2011Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Copyright information:Taken from "Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series"http://respiratory-research.com/content/9/1/58Respiratory Research 2008;9(1):58-58.Published online 5 Aug 2008PMCID:PMC2529287.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series-1
2011Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Owing the location of the vessel in the sub-mucosa beneath the cartilage plate, and the presence of the material of embolization in the lumen (arrow) (B). High-power view revealing the protrusion of the superficial vessel in the lumen with an ulceration and a squamous metaplasia of the epithelium (C). High power-view showing a dysplastic artery with elastic stain (Miller stain) (D).Copyright information:Taken from "Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series"http://respiratory-research.com/content/9/1/58Respiratory Research 2008;9(1):58-58.Published online 5 Aug 2008PMCID:PMC2529287.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series
Respiratory research, 2008Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Background There are limited series concerning Dieulafoy Disease of the bronchus. We describe the clinical presentation of a series of 7 patients diagnosed with Dieulafoy Disease of the bronchus and provide information about the pathological diagnosis approach.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series
Respiratory Research, 2008Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Background There are limited series concerning Dieulafoy Disease of the bronchus. We describe the clinical presentation of a series of 7 patients diagnosed with Dieulafoy Disease of the bronchus and provide information about the pathological diagnosis approach. Patients and methods A retrospective review of patients who underwent surgery for massive and unexplained recurrent hemoptysis in a referral center during a 11-year period. Results Seven heavy smoker (49 pack years) patients (5 males) mean aged 54 years experienced a massive hemoptysis (350–1000 ml) unrelated to a known lung Disease and frequently recurrent. Bronchial contrast extravasation was observed in 3 patients, combining both CT scan and bronchial arteriography. Efficacy of bronchial artery embolization was achieved in 40% of cases before surgery. Pathological examination demonstrated a minute defect in 3 cases and a large and dysplasic superficial bronchial artery in the submucosa in all cases. Conclusion Dieulafoy Disease should be suspected in patients with massive and unexplained episodes of recurrent hemoptysis, in order to avoid hazardous endoscopic biopsies and to alert the pathologist if surgery is performed.
Huang Shi - One of the best experts on this subject based on the ideXlab platform.
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The Sequential Treatment of Intramucosal Injection by Endoscope and Octretide for Dieulafoy Disease
Journal of Tropical Medicine, 2005Co-Authors: Huang ShiAbstract:Objective To observe the effects of the sequential treatment of intramucosal injection by endoscopes and octreotide for Dieulafoy Disease. Methods 15 cases diagnosed as deiulafoy by endoscopes accepted intramucosal injection of adrenalin and high osmotic saline solution at focus by endoscopes first, then accepted intravenous octreotide at 50μg/h for 7 days. Results The hemorrhage of 14 cases were stop successfully by this method (93.3%). Recurrent hemorrhage, occurred only in one case(6.7%). Conclusions The sequential treatment of intramueosal injection by endoscopes and octreotide was effective for Dieulafoy Disease and could lower the recurrent rate of hemorrhage significantly.
Meng Xiang-we - One of the best experts on this subject based on the ideXlab platform.
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Interventional therapy for gastrointestinal hemorrhage induced by Dieulafoy Disease
Journal of Interventional Radiology, 2008Co-Authors: Meng Xiang-weAbstract:Objective To investigate and assess the efficiency and clinical value of interventional therapy for gastrointestinal hemorrhage induced by Dieulafoy Disease.Methods Ten patients definitely diagnosed with Dieulafoy Disease suffering from massive acute gastrointestinal hemorrhage received celiac arterial and left gastric arterial angiography,outcoming with 8 positively and 2 negative cases.Among them,6 were embolized with gelfoam particles and the other two with aneurismal dilatation received gelfoam particles and spring steel coils;and one of the negtive cases was given hypophysin and without intervention to the other.Results Among the 8 intra-arterial embolized cases,only 1 case rebleeded on the third day after gelfoam embolization,and then treated by surgical operation,and the rest 7 showed no rebleeding.One case with hypophysin treatment rehabilitated after one week.Conclusions Interventional therapeutics is a safe and effective emergency management for gastrointestinal hemorrhage induced by Dieulafoy Disease.
Antoine Parrot - One of the best experts on this subject based on the ideXlab platform.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series-0
2011Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Copyright information:Taken from "Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series"http://respiratory-research.com/content/9/1/58Respiratory Research 2008;9(1):58-58.Published online 5 Aug 2008PMCID:PMC2529287.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series-1
2011Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Owing the location of the vessel in the sub-mucosa beneath the cartilage plate, and the presence of the material of embolization in the lumen (arrow) (B). High-power view revealing the protrusion of the superficial vessel in the lumen with an ulceration and a squamous metaplasia of the epithelium (C). High power-view showing a dysplastic artery with elastic stain (Miller stain) (D).Copyright information:Taken from "Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series"http://respiratory-research.com/content/9/1/58Respiratory Research 2008;9(1):58-58.Published online 5 Aug 2008PMCID:PMC2529287.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series
Respiratory research, 2008Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Background There are limited series concerning Dieulafoy Disease of the bronchus. We describe the clinical presentation of a series of 7 patients diagnosed with Dieulafoy Disease of the bronchus and provide information about the pathological diagnosis approach.
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Approach to diagnosis and pathological examination in bronchial Dieulafoy Disease: a case series
Respiratory Research, 2008Co-Authors: Antoine Parrot, Martine Antoine, Antoine Khalil, Jonathan Théodore, Gilles Mangiapan, Bernard Bazelly, M. FartoukhAbstract:Background There are limited series concerning Dieulafoy Disease of the bronchus. We describe the clinical presentation of a series of 7 patients diagnosed with Dieulafoy Disease of the bronchus and provide information about the pathological diagnosis approach. Patients and methods A retrospective review of patients who underwent surgery for massive and unexplained recurrent hemoptysis in a referral center during a 11-year period. Results Seven heavy smoker (49 pack years) patients (5 males) mean aged 54 years experienced a massive hemoptysis (350–1000 ml) unrelated to a known lung Disease and frequently recurrent. Bronchial contrast extravasation was observed in 3 patients, combining both CT scan and bronchial arteriography. Efficacy of bronchial artery embolization was achieved in 40% of cases before surgery. Pathological examination demonstrated a minute defect in 3 cases and a large and dysplasic superficial bronchial artery in the submucosa in all cases. Conclusion Dieulafoy Disease should be suspected in patients with massive and unexplained episodes of recurrent hemoptysis, in order to avoid hazardous endoscopic biopsies and to alert the pathologist if surgery is performed.