Dieulafoy´s Lesion (Exulceratio Simplex) Therapeutical endoscopy using the argon plasma coagulator (APC) Therapeutic endoscopy has been used successfully, and is now the modality of choice for the initial treatment of Dieulafoy lesions Endoscopic modalities used include bipolar electrocoagulation, monopolar electrocoagulation, injection sclerotherapy, heater probe, laser photocoagulation, epinephrine injection, haemoclipping and banding. The injection of epinephrine has been used in combination with other modalities, as a means to slow or stop bleeding and allow better visualisation of the lesion and successful treat-ment. The specific therapeutic modality used seems to depend on the availability and personal experience with a particular technique. Endoscopic therapy is said to be successful in achieving permanent haemostasis in 85% of cases.
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