Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion

FALT, Premysl a Lumír KUNOVSKÝ. Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion. UNITED EUROPEAN GASTROENTEROLOGY JOURNAL. ENGLAND: JOHN WILEY & SONS LTD, 2023, roč. 11, č. 9, s. 904-905. ISSN 2050-6406. Dostupné z: https://dx.doi.org/10.1002/ueg2.12440.

Základní údaje

• Originální název: Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion
• Autoři: FALT, Premysl (203 Česká republika) a Lumír KUNOVSKÝ (203 Česká republika, garant, domácí).
• Vydání: UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, ENGLAND, JOHN WILEY & SONS LTD, 2023, 2050-6406.

Další údaje

• Originální jazyk: angličtina
• Typ výsledku: Článek v odborném periodiku
• Obor: 30219 Gastroenterology and hepatology
• Stát vydavatele: Velká Británie a Severní Irsko
• Utajení: není předmětem státního či obchodního tajemství
• WWW: URL
• Impakt faktor: Impact factor: 6.000 v roce 2022
• Kód RIV: RIV/00216224:14110/23:00131596
• Organizační jednotka: Lékařská fakulta
• Doi: http://dx.doi.org/10.1002/ueg2.12440
• UT WoS: 001034053400001
• Klíčová slova anglicky: bleeding; Dieulafoy's lesion; endoscopy; enteroscopy; hepaticojejunostomy
• Štítky: 14110223, rivok
• Příznaky: Mezinárodní význam, Recenzováno

Anotace

A 27-year-old woman was referred to our endoscopy center for recurrent upper gastrointestinal bleeding requiring multiple blood transfusions over 4 years. She had undergone common bile duct resection with hepaticojejunostomy and cholecystectomy due to choledochal cyst at age 4. Repeated upper endoscopy, colonoscopy, CT angiography, video capsule endoscopy (VCE), magnetic resonance cholangiopancreatography, and scintigraphy were negative. Cap-assisted motorized spiral enteroscopy was performed and Y-Roux-en afferent loop with hepaticojejunostomy was reached (Figure 1). Just below the anastomotic line was a diminutive ulceration with prominent pulsating vessel (Figure 2). When touched by the cap, the ulceration immediately began to spurt blood (Figure 3). Treatment was by argon plasma coagulation (APC), endoclips, and inserting a double pig-tail 7 French stent (Figure 4). The biliary plastic stent was placed to avoid a possible stenosis in the anastomosis after the use of APC and application of endoclips near the anastomosis. At 3 month follow-up of enteroscopy, the stent was removed. The patient is being followed up and has shown no signs of ongoing bleeding.