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Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant
With a shift toward enteric drainage techniques, the complications associated with simultaneous pancreas and kidney (SPK) transplant have also changed. Gastrointestinal (GI) bleeding is one of the most common complications associated with SPK. This case report describes the treatment of a postoperat...
Autores principales: | , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568963/ https://www.ncbi.nlm.nih.gov/pubmed/33101644 http://dx.doi.org/10.1093/jscr/rjaa433 |
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author | Nawabi, Atta Serwar, Sumaiya Klein, Jeffrey Nawabi, Perwaiz Nawabi, Nadia Cibrik, Diane |
author_facet | Nawabi, Atta Serwar, Sumaiya Klein, Jeffrey Nawabi, Perwaiz Nawabi, Nadia Cibrik, Diane |
author_sort | Nawabi, Atta |
collection | PubMed |
description | With a shift toward enteric drainage techniques, the complications associated with simultaneous pancreas and kidney (SPK) transplant have also changed. Gastrointestinal (GI) bleeding is one of the most common complications associated with SPK. This case report describes the treatment of a postoperative GI hemorrhage using the push endoscopy technique. A 48-year-old male underwent an uneventful SPK transplant with entero-systemic drainage and developed hematochezia. The push enteroscopy technique was utilized to treat the bleeding ulcer. Historically, the use of the push enteroscopy technique to treat GI bleeding from the small bowel is not described in the literature. One of the limitations of duodenojejunostomy is that standard endoscopy cannot be readily used to visualize the duodenojejunostomy. However, the use of push enteroscopy may prove to be a minimal invasive and cost-effective intervention for GI bleeding after SPK. |
format | Online Article Text |
id | pubmed-7568963 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-75689632020-10-22 Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant Nawabi, Atta Serwar, Sumaiya Klein, Jeffrey Nawabi, Perwaiz Nawabi, Nadia Cibrik, Diane J Surg Case Rep Case Report With a shift toward enteric drainage techniques, the complications associated with simultaneous pancreas and kidney (SPK) transplant have also changed. Gastrointestinal (GI) bleeding is one of the most common complications associated with SPK. This case report describes the treatment of a postoperative GI hemorrhage using the push endoscopy technique. A 48-year-old male underwent an uneventful SPK transplant with entero-systemic drainage and developed hematochezia. The push enteroscopy technique was utilized to treat the bleeding ulcer. Historically, the use of the push enteroscopy technique to treat GI bleeding from the small bowel is not described in the literature. One of the limitations of duodenojejunostomy is that standard endoscopy cannot be readily used to visualize the duodenojejunostomy. However, the use of push enteroscopy may prove to be a minimal invasive and cost-effective intervention for GI bleeding after SPK. Oxford University Press 2020-10-17 /pmc/articles/PMC7568963/ /pubmed/33101644 http://dx.doi.org/10.1093/jscr/rjaa433 Text en Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author(s) 2020. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com |
spellingShingle | Case Report Nawabi, Atta Serwar, Sumaiya Klein, Jeffrey Nawabi, Perwaiz Nawabi, Nadia Cibrik, Diane Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title | Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title_full | Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title_fullStr | Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title_full_unstemmed | Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title_short | Nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
title_sort | nonoperative management of gastrointestinal bleeding after a simultaneous pancreas and kidney transplant |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7568963/ https://www.ncbi.nlm.nih.gov/pubmed/33101644 http://dx.doi.org/10.1093/jscr/rjaa433 |
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