Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm

A 28-year-old woman, with a history of liver transplantation with Roux-en-Y hepaticjejunostomy, was admitted for melena and severe anemia. Bidirectional endoscopy was normal. Capsule endoscopy demonstrated fresh blood in the efferent limb downstream of the jejuno-jejunostomy. Anterograde double-ball...

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Autores principales: Marinoni, Beatrice, Elli, Luca, Tontini, Gian Eugenio, Scaramella, Lucia, Penagini, Roberto, Vecchi, Maurizio, Nandi, Nicoletta
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2022
Materias:
Interesting Images
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497802/
https://www.ncbi.nlm.nih.gov/pubmed/36140508
http://dx.doi.org/10.3390/diagnostics12092107
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author Marinoni, Beatrice
Elli, Luca
Tontini, Gian Eugenio
Scaramella, Lucia
Penagini, Roberto
Vecchi, Maurizio
Nandi, Nicoletta
author_facet Marinoni, Beatrice
Elli, Luca
Tontini, Gian Eugenio
Scaramella, Lucia
Penagini, Roberto
Vecchi, Maurizio
Nandi, Nicoletta
author_sort Marinoni, Beatrice
collection PubMed
description A 28-year-old woman, with a history of liver transplantation with Roux-en-Y hepaticjejunostomy, was admitted for melena and severe anemia. Bidirectional endoscopy was normal. Capsule endoscopy demonstrated fresh blood in the efferent limb downstream of the jejuno-jejunostomy. Anterograde double-balloon enteroscopy (DBE) showed an adherent clot with a visible vessel oozing next to the hepaticojejunostomy. Bleeding was treated firstly with argon plasma coagulation and endoclips and further treated with dual emission laser, achieving complete hemostasis. At the 3 months follow-up, hemoglobin was stable without evidence of re-bleeding.
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spelling pubmed-94978022022-09-23 Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm Marinoni, Beatrice Elli, Luca Tontini, Gian Eugenio Scaramella, Lucia Penagini, Roberto Vecchi, Maurizio Nandi, Nicoletta Diagnostics (Basel) Interesting Images A 28-year-old woman, with a history of liver transplantation with Roux-en-Y hepaticjejunostomy, was admitted for melena and severe anemia. Bidirectional endoscopy was normal. Capsule endoscopy demonstrated fresh blood in the efferent limb downstream of the jejuno-jejunostomy. Anterograde double-balloon enteroscopy (DBE) showed an adherent clot with a visible vessel oozing next to the hepaticojejunostomy. Bleeding was treated firstly with argon plasma coagulation and endoclips and further treated with dual emission laser, achieving complete hemostasis. At the 3 months follow-up, hemoglobin was stable without evidence of re-bleeding. MDPI 2022-08-30 /pmc/articles/PMC9497802/ /pubmed/36140508 http://dx.doi.org/10.3390/diagnostics12092107 Text en © 2022 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Marinoni, Beatrice
Elli, Luca
Tontini, Gian Eugenio
Scaramella, Lucia
Penagini, Roberto
Vecchi, Maurizio
Nandi, Nicoletta
Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title_full Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title_fullStr Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title_full_unstemmed Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title_short Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm
title_sort bleeding lesion from roux-en-y hepaticojejunostomy: a successful combined hemostasis with dual emission laser 1.9/1.5 μm
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9497802/
https://www.ncbi.nlm.nih.gov/pubmed/36140508
http://dx.doi.org/10.3390/diagnostics12092107
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