DIEULAFOY LESION AFTER PHARYNGO-LARYNGO-ESOPHAGECTOMY

¹Abant İzzet Baysal Üniversitesi Tıp Fakültesi, Genel Cerrahi Anabilim Dalı, Bolu, Türkiye
²Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, II. Genel Cerrahi Kliniği, Ankara, Türkiye
³Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, I. KBB Kliniği, Ankara, Türkiye
⁴Yıldırım Beyazıt Eğitim ve Araştırma Hastanesi, I. Genel Cerrahi Kliniği, Ankara, Türkiye Dieulafoy lesion lesion was detected by endoscopic examination for haematemesis in gastric fundus, distal of the pharyngo- gastric anastomosis in a patient who had underwent to pharyngo-laryngo-esophajectomy gastric pull-up 16 months ago. Hemostasis was obtained endoscopically with heater probe thermocoagulations. At the 6th month of the follow up, recurrent bleeding was coagulated with the same procedure. Rebleeding occured a year after the second procedure,and focus of bleeding was sutured. There are many factors thought to be responsible for Dieulafoy lesion etiopathogenesis. According to our knowledge, this is the first case reported which Dieulafoy lesion occured following gastric pull up. Keywords : Dieulafoy lesion, hypopharinx cancer, gastric pull-up