Intraoperative Fluoroscopy-Assisted Localization of Small Bowel Gastrointestinal Bleeding

2022 ◽  
pp. 000313482110508
Author(s):  
Nicholas J. Pelliccio ◽  
Quyen D. Chu
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Coil Embolization ◽  
Percutaneous Treatment ◽  
Success Rates ◽  
Treatment Methods ◽  
Intraoperative Fluoroscopy ◽  
Intraoperative Management ◽  
Novel Method ◽  
External Inspection

Intraoperative management of refractory small bowel gastrointestinal bleeding continues to present challenges to surgeons, specifically, in localizing the source of bleeding. The need for operative intervention has decreased significantly with improved percutaneous radiologic techniques for embolization with good success rates. When percutaneous treatment methods fail, the surgeon is left with a variety of suboptimal options for localization if the pathologic source is not obvious on external inspection of the small bowel. This report describes a novel method for localizing small bowel gastrointestinal bleeding in those patients who have had previous coil embolization attempts at controlling small bowel gastrointestinal bleeding.

ID: 3520773 RHEMITT SCORE: PREDICTING THE RISK OF REBLEEDING FOR PATIENTS WITH MID-GASTROINTESTINAL BLEEDING SUBMITTED TO SMALL BOWEL CAPSULE ENDOSCOPY – A PROSPECTIVE VALIDATION

2021 ◽  
Vol 93 (6) ◽  
pp. AB350-AB351
Author(s):  
Rui S. Magalhães ◽  
Bernardo Sousa-Pinto ◽  
Tiago Cúrdia Gonçalves ◽  
Pedro Boal Carvalho ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy

scholarly journals Obscure Gastrointestinal Bleeding Caused by Small Bowel Lipoma

2008 ◽  
Vol 47 (18) ◽  
pp. 1601-1603 ◽  
Author(s):  
Jen-Wei Chou ◽  
Chun-Lung Feng ◽  
Hsueh-Chou Lai ◽  
Chin-Chi Tsai ◽  
Sheng-Hung Chen ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Obscure Gastrointestinal Bleeding

scholarly journals Gastrointestinal bleeding as presentation of small bowel metastases of malignant melanoma: Is surgery a good choice?

2014 ◽  
Vol 5 (10) ◽  
pp. 774-778 ◽  
Author(s):  
Angelica Conversano ◽  
Simona Macina ◽  
Rocco Indellicato ◽  
Domenico Lacavalla ◽  
Dario D’Abbicco
Keyword(s):  
Malignant Melanoma ◽  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Good Choice ◽  
Small Bowel Metastases

scholarly journals Massive obscure GI bleeding from Idiopathic Jejunal varices identified using single balloon enteroscopy

2019 ◽  
Vol 16 (1) ◽  
pp. 62-71
Author(s):  
Natasha Harris ◽  
Alaa Rostom ◽  
Husein Moloo
Keyword(s):  
Small Bowel ◽  
Literature Review ◽  
Gastrointestinal Bleeding ◽  
Surgical Resection ◽  
Obscure Gastrointestinal Bleeding ◽  
Gi Bleeding ◽  
Jejunal Varices ◽  
Single Balloon ◽  
Single Balloon Enteroscopy ◽  
Small Bowel Varices

Background:  Obscure gastrointestinal bleeding from idiopathic small bowel varices is both a diagnostic and management challenge for physicians. There are very few cases reported in the literature and there is no consensus on management recommendations. Aims:  To present the case of a 34-year-old male patient with bleeding from idiopathic jejunal varices and to review similar cases in the literature.  Methods:  A case of idiopathic jejunal varices is reported. A literature review was conducted and a total of 24 articles describing idiopathic small bowel varices were identified. Results:  Case Report: A 34-year-old gentleman was referred for worsening obscure gastrointestinal bleeding and anemia. Anterograde single balloon enteroscopy revealed several petechial like lesions that were not classic for angiodysplasia. These lesions were initially treated with argon plasma coagulation and clipped, which did not resolve the patient’s persistent anemia. No venous abnormalities were identified on computed tomography of the abdomen and pelvis with contrast. The patient underwent an endoscopically assisted exploratory laparoscopy that was converted to a laparotomy upon finding of grossly abnormal distal jejunum. Dilated and tortuous varicosities were identified involving approximately 150 cm of small bowel. It was decided to resect the 40 cm segment of jejunum in which varices were visible endoscopically. There was no evidence of thrombosis in the resected specimen. The patient suffered a pulmonary embolism post-operatively, believed to be provoked by the surgery.  The patient has had no re-bleeding 12 months post-resection. Literature Review: Both familial and non-familial accounts of small bowel varices in the absence of a primary cause have been reported in the literature. When supportive therapy is insufficient, the most common treatment modality chosen is surgical resection. Select cases have also demonstrated that sclerotherapy and varix dissection can be used for to treat these lesions. Conclusions:  Idiopathic small bowel varices pose both diagnostic and therapeutic challenges for physicians. In the literature, several treatment modalities have been shown to be successful; these include surgical resection, varix dissection and sclerotherapy. There is no consensus on the preferred treatment strategy. This report demonstrates endoscopically assisted surgical resection as a viable management strategy for bleeding of idiopathic small bowel varices, an uncommon cause of occult GI bleeding.

scholarly journals Massive Obscure Overt Gastrointestinal Bleed: An Unusual Cause diagnosed by Capsule Endoscopy

2012 ◽  
Vol 46 (1) ◽  
pp. 37-39 ◽  
Author(s):  
Surjeet Singh ◽  
Chalapathi Rao ◽  
Surinder S Rana ◽  
Amit Bhauwala ◽  
Kartar Singh ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Unusual Case ◽  
Tropical Countries ◽  
Gastrointestinal Bleed ◽  
Common Causes

ABSTRACT Common causes for obscure overt gastrointestinal bleeding originating from the small bowel include small bowel angioectasias, Crohn's disease, ulcers and tumors. In tropical countries, intestinal ulcerations secondary to tuberculosis and parasitic infestations have also been described as causes of gastrointestinal bleeding. We present a very unusual case of massive obscure overt gastrointestinal bleeding due to massive hookworm infestation of the small bowel that was diagnosed by capsule endoscopy and successfully treated with oral albendazole. How to cite this article Rao C, Sharma A, Rana SS, Bhauwala A, Singh S, Singh K, Bhasin DK. Massive Obscure Overt Gastrointestinal Bleed: An Unusual Cause diagnosed by Capsule Endoscopy. J Postgrad Med Edu Res 2012;46(1):37-39.

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