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Laparotomy-Assisted Endoscopic Injection of Jejunal Varices for Overt Small Bowel Bleeding.
Kohli, Divyanshoo R; Levy, Marlon F; Smallfield, George B.
Afiliação
  • Kohli DR; Division of Gastroenterology and Hepatology, Department of Medicine, Virginia Commonwealth University, Richmond, VA.
  • Levy MF; Division of Transplant Surgery, Department of Surgery, Virginia Commonwealth University, Richmond, VA.
  • Smallfield GB; Division of Gastroenterology and Hepatology, Department of Medicine, Virginia Commonwealth University, Richmond, VA.
ACG Case Rep J ; 4: e79, 2017.
Article em En | MEDLINE | ID: mdl-28670593
ABSTRACT
A 54-year old male liver transplant recipient with Roux-en-Y choledochojejunostomy was admitted for symptomatic anemia. Despite endoscopies and a bleeding scan, active bleeding was not visualized. Angiography and abdominal computed tomography demonstrated possible jejunal varices at the choledochojejunal anastomosis. Double-balloon enteroscopy demonstrated varices with overlying clots in the Roux limb at the anastomosis. Due to the extensive loop formation and unstable position of the endoscope, therapeutic intervention could not be performed. Operative enterotomy and intraoperative endoscopy were subsequently required. A varix in the jejunum with venous flow on Doppler was injected twice with cyanoacrylate and successfully obturated.

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2017 Tipo de documento: Article

Texto completo: 1 Base de dados: MEDLINE Idioma: En Ano de publicação: 2017 Tipo de documento: Article