This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Stomach & Duodenum, Subject name: Surgery
All are true about Dieulafoy's lesion except: 
Select and explain. 
A. Angiographic embolization is the preferred treatment, B. Endoscopic treatment can be given, C. Pulsation of artery causes ulceration, D. Submucosal artery
A: Angiographic embolization is the preferred treatment
Answer: A: Angiographic embolization is the preferred treatment 
Explanation: Ans. (a) Angiographic embolization is the preferred treatmentRef: Sabiston 19th Edition, Page 1168* Dieulafoy's lesion is most common in lesser curve near cardia (6cm from OG junction)* Dilated tortuous artery bleeding in submucosa (It is a branch from left gastric Artery)* Painless massive hemorrhage occurs* Treatment Protocol:# 1st - Endoscopic sclerosant and thermal therapy is tried first. Mostly it seems successful in 80% to 100% cases.# 2nd - Angiographic embolization with coils done if step 1 fails.# 3rd - Final step gastric wedge resection with bleeding vessel.