Detailed Information on Publication Record
2023
Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion
FALT, Premysl and Lumír KUNOVSKÝBasic information
Original name
Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion
Authors
FALT, Premysl (203 Czech Republic) and Lumír KUNOVSKÝ (203 Czech Republic, guarantor, belonging to the institution)
Edition
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, ENGLAND, JOHN WILEY & SONS LTD, 2023, 2050-6406
Other information
Language
English
Type of outcome
Článek v odborném periodiku
Field of Study
30219 Gastroenterology and hepatology
Country of publisher
United Kingdom of Great Britain and Northern Ireland
Confidentiality degree
není předmětem státního či obchodního tajemství
References:
Impact factor
Impact factor: 6.000 in 2022
RIV identification code
RIV/00216224:14110/23:00131596
Organization unit
Faculty of Medicine
UT WoS
001034053400001
Keywords in English
bleeding; Dieulafoy's lesion; endoscopy; enteroscopy; hepaticojejunostomy
Tags
International impact, Reviewed
Změněno: 2/2/2024 12:43, Mgr. Tereza Miškechová
Abstract
V originále
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.