Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report

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dc.catalogadorpva
dc.contributor.authorRiquoir Altamirano, Christophe Francis
dc.contributor.authorDíaz Piga, Luis Antonio
dc.contributor.authorChiliquinga Morales, David Hernán
dc.contributor.authorCandia Balboa, Roberto Andrés
dc.contributor.authorPimentel Muller, Fernando
dc.contributor.authorArenas Aravena, Alex Fabián
dc.date.accessioned2024-11-20T13:32:14Z
dc.date.available2024-11-20T13:32:14Z
dc.date.issued2021
dc.description.abstractThe Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to access the biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, a pediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a 50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinal bleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did not reveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using a pediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolution was found to be satisfactory.
dc.fechaingreso.objetodigital2024-11-19
dc.format.extent5 páginas
dc.fuente.origenWOS
dc.identifier.doi10.5946/ce.2021.060
dc.identifier.eissn2234-2443
dc.identifier.issn2234-2400
dc.identifier.pubmedidMEDLINE:34030436
dc.identifier.urihttps://doi.org/10.5946/ce.2021.060
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/88608
dc.identifier.wosidWOS:000706414500020
dc.information.autorucEscuela de Medicina; Riquoir Altamirano, Christophe Francis; 0000 0001 7462 2708; 247576
dc.information.autorucEscuela de Medicina; Díaz Piga, Luis Antonio; 0000-0002-8540-4930; 179253
dc.information.autorucEscuela de Medicina; Chiliquinga Morales, David Hernán; S/I; 1052605
dc.information.autorucEscuela de Medicina; Candia Balboa, Roberto Andrés; 0000-0003-1856-7737; 16705
dc.information.autorucEscuela de Medicina; Pimentel Muller, Fernando; S/I; 58222
dc.information.autorucEscuela de Medicina; Arenas Aravena, Alex Fabián; S/I; 131958
dc.issue.numero5
dc.language.isoen
dc.nota.accesocontenido completo
dc.pagina.final758
dc.pagina.inicio754
dc.publisherKorean Society of Gastrointestinal Endoscopy
dc.revistaClinical Endoscopy
dc.rightsacceso abierto
dc.rights.licenseCC BY-NC 3.0 Attribution-NonCommercial 3.0
dc.rights.urihttps://creativecommons.org/licenses/by-nc/3.0/
dc.subjectColonoscope
dc.subjectDouble-Balloon Enteroscopy
dc.subjectDuodenal Ulcer
dc.subjectGastric Bypass
dc.subjectGastrointestinal Hemorrhage
dc.subjectDUODENAL-ULCER
dc.subjectHEMORRHAGE
dc.subjectSURGERY
dc.subjectCOMPLICATIONS
dc.subjectENTEROSCOPY
dc.subjectENDOSCOPY
dc.subject.ddc610
dc.subject.deweyMedicina y saludes_ES
dc.subject.ods03 Good health and well-being
dc.subject.odspa03 Salud y bienestar
dc.titleManagement of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report
dc.typeartículo
dc.volumen54
sipa.codpersvinculados247576
sipa.codpersvinculados179253
sipa.codpersvinculados1052605
sipa.codpersvinculados16705
sipa.codpersvinculados58222
sipa.codpersvinculados131958
sipa.trazabilidadWOS;18-03-2022
sipa.trazabilidadORCID;2024-11-18
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