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

Result code in IS VaVaI
<a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F65269705%3A_____%2F23%3A00078257" target="_blank" >RIV/65269705:_____/23:00078257 - isvavai.cz</a>
Alternative codes found
RIV/00216224:14110/23:00131596 RIV/61989592:15110/23:73619681 RIV/00098892:_____/23:10157885 RIV/00209805:_____/23:00079339
Result on the web
<a href="https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12440" target="_blank" >https://onlinelibrary.wiley.com/doi/10.1002/ueg2.12440</a>
DOI - Digital Object Identifier
<a href="http://dx.doi.org/10.1002/ueg2.12440" target="_blank" >10.1002/ueg2.12440</a>

Result language
angličtina
Original language name
Recurrent bleeding in a patient with hepaticojejunostomy caused by Dieulafoy's lesion
Original language description
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.
Czech name
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Czech description
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Type
J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database
CEP classification
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OECD FORD branch
30200 - Clinical medicine

Project
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Continuities
I - Institucionalni podpora na dlouhodoby koncepcni rozvoj vyzkumne organizace

Publication year
2023
Confidentiality
S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

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