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@article{2306639, author = {Falt, Premysl and Kunovský, Lumír}, article_location = {ENGLAND}, article_number = {9}, doi = {http://dx.doi.org/10.1002/ueg2.12440}, keywords = {bleeding; Dieulafoy's lesion; endoscopy; enteroscopy; hepaticojejunostomy}, language = {eng}, issn = {2050-6406}, journal = {UNITED EUROPEAN GASTROENTEROLOGY JOURNAL}, title = {Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion}, url = {https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12440}, volume = {11}, year = {2023} }
TY - JOUR ID - 2306639 AU - Falt, Premysl - Kunovský, Lumír PY - 2023 TI - Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion JF - UNITED EUROPEAN GASTROENTEROLOGY JOURNAL VL - 11 IS - 9 SP - 904-905 EP - 904-905 PB - JOHN WILEY & SONS LTD SN - 20506406 KW - bleeding KW - Dieulafoy's lesion KW - endoscopy KW - enteroscopy KW - hepaticojejunostomy UR - https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12440 N2 - 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. ER -
FALT, Premysl a Lumír KUNOVSKÝ. Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion. \textit{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.
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