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

J 2023

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

FALT, Premysl and Lumír KUNOVSKÝ

Basic 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:

URL

Impact factor

Impact factor: 6.000 in 2022

RIV identification code

RIV/00216224:14110/23:00131596

Organization unit

Faculty of Medicine

DOI

http://dx.doi.org/10.1002/ueg2.12440

UT WoS

001034053400001

Keywords in English

bleeding; Dieulafoy's lesion; endoscopy; enteroscopy; hepaticojejunostomy

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.

Citovat

FALT, Premysl and Lumír KUNOVSKÝ. Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion. UNITED EUROPEAN GASTROENTEROLOGY JOURNAL. ENGLAND: JOHN WILEY & SONS LTD, 2023, vol. 11, No 9, p. 904-905. ISSN 2050-6406. Available from: https://dx.doi.org/10.1002/ueg2.12440.

@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 and 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, vol.~11, No~9, p.~904-905. ISSN~2050-6406. Available from: https://dx.doi.org/10.1002/ueg2.12440.

Detailed Information on Publication Record