TY - JOUR AU - Vohra, Sandeep AB - Indian Journal of Gastroenterology https://doi.org/10.1007/s12664-023-01364-6 IM AGE 1 1 2 1 3 Hitendra Garg  · Gaurav Padia  · Anupam Raj  · Sudeep Khanna  · Sandeep Vohra © Indian Society of Gastroenterology 2023 Dieulafoy’s lesion, also termed as ‘calibre persistent artery’, UGIE showed sudden oozing of blood and no clips were is a rare cause for obscure gastrointestinal (GI) bleeding. It seen in situ (Fig. 1A). Immediate endoscopic ultrasound can result in life-threatening GI hemorrhage [1, 2]. About (EUS) evaluation was performed. It showed the presence 70% of lesions occur in the proximal part of the stomach, of a persistent calibre artery in the submucosa of the particularly within 6 cm from the gastroesophageal junc- lesser curvature just below the GI junction. The Doppler tion [3]. Combined endoscopic hemostatic procedures such signal was very thin and the patient was actively bleeding. as mechanical hemostasis with or without injection and/ Hence, we chose localized therapy over angioemboliza- or coagulation are highly effective therapeutic modalities tion (Fig.  1B). As intragastric blood was obliterating a with a success rate of 90% [4, 5]. Recurrent bleeding after clear view, 1 mL methylene blue was injected with a 23G attempted endoscopic hemostasis can be treated with repeat needle. The dye was injected to mark the TI - Over-the-scope clip for Dieulafoy’s lesion: A new ‘normal’ technique JF - Indian Journal of Gastroenterology DO - 10.1007/s12664-023-01364-6 DA - 2023-06-01 UR - https://www.deepdyve.com/lp/springer-journals/over-the-scope-clip-for-dieulafoy-s-lesion-a-new-normal-technique-ooGoN7UCbw SP - 438 EP - 439 VL - 42 IS - 3 DP - DeepDyve ER -