Case Report
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Year 2022, Volume: 39 Issue: 1, 275 - 276, 01.01.2022

Abstract

References

  • 1. Haddad FG, El Imad T, Nassani N, Kwok R, Al Moussawi H, Polavarapu A, Ahmed M, El Douaihy Y, Deeb L. In-hospital acute upper gastrointestinal bleeding: What is the scope of the problem? World J Gastrointest Endosc. 2019 Dec 16;11(12):561-572. doi: 10.4253/wjge.v11i12.561. PMID: 31839875; PMCID: PMC6885731.
  • 2. Hearnshaw SA, Logan RF, Lowe D, Travis SP, Murphy MF, Palmer KR. Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the 2007 UK audit. Gut. 2011 Oct;60(10):1327-35. doi: 10.1136/gut.2010.228437. Epub 2011 Apr 13. PMID: 21490373. Gut 60, 1327-35.
  • 3. Khamaysi I. & Gralnek I.M., 2013. Acute upper gastrointestinal bleeding (UGIB)- initial evaluation and management. Best Pract Res Clin Gastroenterol 27, 633-8.
  • 4. Biecker E, Heller J, Schmitz V, Lammert F, Sauerbruch T. Diagnosis and management of upper gastrointestinal bleeding. Dtsch Arztebl Int. 2008 Feb;105(5):85-94. doi: 10.3238/arztebl.2008.0085. Epub 2008 Feb 1. PMID: 19633792; PMCID: PMC2701242.
  • 5. Danış N, Tekin F, Akarca US, Ünal NG, Işık Erdoğan E, Akat K, Demirkoparan Ü, Karasu Z, Turan İ, Oruç N, Aydın A, Ersöz G, Vardar R, Özütemiz Ö, Günşar F. Changing patterns of upper gastrointestinal bleeding over 23 years in Turkey. Turk J Gastroenterol. 2019 Oct;30(10):877-882. doi: 10.5152/tjg.2019.19239. PMID: 31258140; PMCID: PMC6812949.
  • 6. Baba H, Wakabayashi M, Oba A, Baba H, Mitsuoka A, Nakamura H, Sanada T, Kuwabara H, Nakajima K, Goseki N, Ishida H. Unusual bleeding from hepaticojejunostomy controlled by adult variable stiffness colonoscopy: report of a case and literature review. Int Surg. 2014 Sep-Oct;99(5):584-9. doi: 10.9738/INTSURG-D-13-00126.1. PMID: 25216425; PMCID: PMC4253928.
  • 7. Domagk D, Mensink P, Aktas H, Lenz P, Meister T, Luegering A, Ullerich H, Aabakken L, Heinecke A, Domschke W, Kuipers E, Bretthauer M. Single- vs. double-balloon enteroscopy in small-bowel diagnostics: a randomized multicenter trial. Endoscopy. 2011 Jun;43(6):472-6. doi: 10.1055/s-0030-1256247. Epub 2011 Mar 7. Erratum in: Endoscopy. 2011 Dec;43(12):1089. PMID: 21384320.
  • 8. Manner H. Argon plasma coagulation therapy. Curr Opin Gastroenterol. 2008 Sep;24(5):612-6. doi: 10.1097/MOG.0b013e32830bf825. PMID: 19122503.

An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis

Year 2022, Volume: 39 Issue: 1, 275 - 276, 01.01.2022

Abstract

Upper gastrointestinal bleeding (UGIB) is a common condition causing a considerable number of admissions in clinics. The most frequent causes of UGIB are peptic ulcer disease, malignancies, variceal bleeding and Mallory Weiss tears. A 47-year-old male subject was admitted to the emergency service with recurrent episodes of melena. He had been hospitalized several times before, but he was discharged because the endoscopic procedures did not reveal any origin. There has been a history of Whipple surgery for pancreatic adenocarcinoma. When admitted he was tachycardic, melanic stool was noted on rectal examination and his hemoglobin level was decreased. Widespread angioectasia was detected at the borders of the biliary-enteric anastomosis, which was known to have bleeding on upper GI endoscopy. Despite their rare presentation, bleeding from the vascular ectasia near the anostomotic line should be kept in mind in the differential diagnosis of patients with gastrointestinal hemorrhage.

References

  • 1. Haddad FG, El Imad T, Nassani N, Kwok R, Al Moussawi H, Polavarapu A, Ahmed M, El Douaihy Y, Deeb L. In-hospital acute upper gastrointestinal bleeding: What is the scope of the problem? World J Gastrointest Endosc. 2019 Dec 16;11(12):561-572. doi: 10.4253/wjge.v11i12.561. PMID: 31839875; PMCID: PMC6885731.
  • 2. Hearnshaw SA, Logan RF, Lowe D, Travis SP, Murphy MF, Palmer KR. Acute upper gastrointestinal bleeding in the UK: patient characteristics, diagnoses and outcomes in the 2007 UK audit. Gut. 2011 Oct;60(10):1327-35. doi: 10.1136/gut.2010.228437. Epub 2011 Apr 13. PMID: 21490373. Gut 60, 1327-35.
  • 3. Khamaysi I. & Gralnek I.M., 2013. Acute upper gastrointestinal bleeding (UGIB)- initial evaluation and management. Best Pract Res Clin Gastroenterol 27, 633-8.
  • 4. Biecker E, Heller J, Schmitz V, Lammert F, Sauerbruch T. Diagnosis and management of upper gastrointestinal bleeding. Dtsch Arztebl Int. 2008 Feb;105(5):85-94. doi: 10.3238/arztebl.2008.0085. Epub 2008 Feb 1. PMID: 19633792; PMCID: PMC2701242.
  • 5. Danış N, Tekin F, Akarca US, Ünal NG, Işık Erdoğan E, Akat K, Demirkoparan Ü, Karasu Z, Turan İ, Oruç N, Aydın A, Ersöz G, Vardar R, Özütemiz Ö, Günşar F. Changing patterns of upper gastrointestinal bleeding over 23 years in Turkey. Turk J Gastroenterol. 2019 Oct;30(10):877-882. doi: 10.5152/tjg.2019.19239. PMID: 31258140; PMCID: PMC6812949.
  • 6. Baba H, Wakabayashi M, Oba A, Baba H, Mitsuoka A, Nakamura H, Sanada T, Kuwabara H, Nakajima K, Goseki N, Ishida H. Unusual bleeding from hepaticojejunostomy controlled by adult variable stiffness colonoscopy: report of a case and literature review. Int Surg. 2014 Sep-Oct;99(5):584-9. doi: 10.9738/INTSURG-D-13-00126.1. PMID: 25216425; PMCID: PMC4253928.
  • 7. Domagk D, Mensink P, Aktas H, Lenz P, Meister T, Luegering A, Ullerich H, Aabakken L, Heinecke A, Domschke W, Kuipers E, Bretthauer M. Single- vs. double-balloon enteroscopy in small-bowel diagnostics: a randomized multicenter trial. Endoscopy. 2011 Jun;43(6):472-6. doi: 10.1055/s-0030-1256247. Epub 2011 Mar 7. Erratum in: Endoscopy. 2011 Dec;43(12):1089. PMID: 21384320.
  • 8. Manner H. Argon plasma coagulation therapy. Curr Opin Gastroenterol. 2008 Sep;24(5):612-6. doi: 10.1097/MOG.0b013e32830bf825. PMID: 19122503.
There are 8 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Case Report
Authors

Merve Eren Durmuş 0000-0002-5847-6699

Serkan Öcal 0000-0003-3719-9482

Adil Duman This is me 0000-0003-1941-3975

Early Pub Date January 3, 2022
Publication Date January 1, 2022
Submission Date April 29, 2021
Acceptance Date June 21, 2021
Published in Issue Year 2022 Volume: 39 Issue: 1

Cite

APA Eren Durmuş, M., Öcal, S., & Duman, A. (2022). An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis. Journal of Experimental and Clinical Medicine, 39(1), 275-276.
AMA Eren Durmuş M, Öcal S, Duman A. An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis. J. Exp. Clin. Med. January 2022;39(1):275-276.
Chicago Eren Durmuş, Merve, Serkan Öcal, and Adil Duman. “An Unusual Upper GI Bleeding: Angiodysplasia at the Hepaticojejunostomy Anostomosis”. Journal of Experimental and Clinical Medicine 39, no. 1 (January 2022): 275-76.
EndNote Eren Durmuş M, Öcal S, Duman A (January 1, 2022) An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis. Journal of Experimental and Clinical Medicine 39 1 275–276.
IEEE M. Eren Durmuş, S. Öcal, and A. Duman, “An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis”, J. Exp. Clin. Med., vol. 39, no. 1, pp. 275–276, 2022.
ISNAD Eren Durmuş, Merve et al. “An Unusual Upper GI Bleeding: Angiodysplasia at the Hepaticojejunostomy Anostomosis”. Journal of Experimental and Clinical Medicine 39/1 (January 2022), 275-276.
JAMA Eren Durmuş M, Öcal S, Duman A. An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis. J. Exp. Clin. Med. 2022;39:275–276.
MLA Eren Durmuş, Merve et al. “An Unusual Upper GI Bleeding: Angiodysplasia at the Hepaticojejunostomy Anostomosis”. Journal of Experimental and Clinical Medicine, vol. 39, no. 1, 2022, pp. 275-6.
Vancouver Eren Durmuş M, Öcal S, Duman A. An unusual upper GI bleeding: Angiodysplasia at the hepaticojejunostomy anostomosis. J. Exp. Clin. Med. 2022;39(1):275-6.