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

doi:10.3390/diagnostics12092107

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

by

Beatrice Marinoni

^1,2,*

,

Luca Elli

^1,2,*

,

Gian Eugenio Tontini

^1,2,

Lucia Scaramella

¹

,

Roberto Penagini

^1,2

,

Maurizio Vecchi

^1,2 and

Nicoletta Nandi

^1,2

¹

Center for Prevention and Diagnosis of Celiac Disease, Gastroenterology and Endoscopy Unit, Foundation IRCCS Ca’ Granda Ospedale Maggiore Policlinico, Via F. Sforza 35, 20122 Milan, Italy

²

Department of Pathophysiology and Transplantation, University of Milan, 20122 Milan, Italy

^*

Authors to whom correspondence should be addressed.

Diagnostics 2022, 12(9), 2107; https://doi.org/10.3390/diagnostics12092107

Submission received: 8 August 2022 / Revised: 24 August 2022 / Accepted: 25 August 2022 / Published: 30 August 2022

(This article belongs to the Special Issue Device-Assisted Enteroscopy: An Update on Diagnostic and Therapeutic Approaches)

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Abstract

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.

Keywords: device-assisted enteroscopy; therapeutic intervention; liver transplantation; gastrointestinal bleeding; laser

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MDPI and ACS Style

Marinoni, B.; Elli, L.; Tontini, G.E.; Scaramella, L.; Penagini, R.; Vecchi, M.; Nandi, N. Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm. Diagnostics 2022, 12, 2107. https://doi.org/10.3390/diagnostics12092107

AMA Style

Marinoni B, Elli L, Tontini GE, Scaramella L, Penagini R, Vecchi M, Nandi N. Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm. Diagnostics. 2022; 12(9):2107. https://doi.org/10.3390/diagnostics12092107

Chicago/Turabian Style

Marinoni, Beatrice, Luca Elli, Gian Eugenio Tontini, Lucia Scaramella, Roberto Penagini, Maurizio Vecchi, and Nicoletta Nandi. 2022. "Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm" Diagnostics 12, no. 9: 2107. https://doi.org/10.3390/diagnostics12092107

APA Style

Marinoni, B., Elli, L., Tontini, G. E., Scaramella, L., Penagini, R., Vecchi, M., & Nandi, N. (2022). Bleeding Lesion from Roux-en-Y Hepaticojejunostomy: A Successful Combined Hemostasis with Dual Emission Laser 1.9/1.5 μm. Diagnostics, 12(9), 2107. https://doi.org/10.3390/diagnostics12092107

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

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