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DC Field | Value | Language |
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dc.contributor | Sistema FMUSP-HC: Faculdade de Medicina da Universidade de São Paulo (FMUSP) e Hospital das Clínicas da FMUSP | |
dc.contributor.author | MOURA, Diogo Turiani Hourneaux de | |
dc.contributor.author | SACHDEV, Amit H. | |
dc.contributor.author | LU, Po-Wen | |
dc.contributor.author | RIBEIRO, Igor Braga | |
dc.contributor.author | THOMPSON, Christopher C. | |
dc.date.accessioned | 2019-09-23T14:21:40Z | - |
dc.date.available | 2019-09-23T14:21:40Z | - |
dc.date.issued | 2019 | |
dc.identifier.citation | WORLD JOURNAL OF CLINICAL CASES, v.7, n.15, p.2038-2043, 2019 | |
dc.identifier.issn | 2307-8960 | |
dc.identifier.uri | https://observatorio.fm.usp.br/handle/OPI/33615 | - |
dc.description.abstract | BACKGROUND Roux-en-Y gastric bypass (RYGB) is the most commonly performed surgical procedure used to treat obesity worldwide. Despite satisfactory results in terms of weight loss, over time many patients experience weight regain. There are many factors that contribute to weight regain after RYGB, including the diameter of the gastric-jejunal anastomosis (GJA). One of the most commonly performed endoscopic procedures for weight regain after RYGB is argon plasma coagulation (APC). We report a case of hematemesis after outlet revision with APC. We highlight several treatment modalities that can be used to treat this complication. CASE SUMMARY A 45-year-old female with a history of weight regain after RYGB was referred for possible endoscopic treatment for weight regain. On endoscopic evaluation, the diameter of the GJA was 22 mm. Due to the dilated GJA, treatment with APC was performed. Several months later she reported a return of poor satiety and an increased appetite. A repeat endoscopy was then performed. The GJA was approximately 15 mm and was incompetent. APC was performed. One day post procedure she had four episodes of hematemesis. An endoscopy was performed and a large ulcer with a visible arterial vessel was visualized at the GJA. Coagulation was attempted using a Coagrasper and after initial contact with the vessel, the vessel started oozing. Due to fibrosis and the depth of ulceration in the area, clips and repeat APC could not be used. Therefore, an attempt to inject epinephrine injection was made. However, persistent oozing was noted. As a result, hemostatic powder was applied to the region of the bleeding vessel. Subsequently, no more bleeding was observed. On follow-up, the patient remained hemodynamically stable and a second look endoscopy was not performed. The patient was discharged three days later. CONCLUSION APC revision of the GJA is known to be a relatively safe and effective strategy to manage weight regain post RYGB. Anastomotic site bleeding is an infrequent and potentially life-threatening complication associated with this therapy. Endoscopic management is the first line therapy used to achieve hemostasis in these cases. | eng |
dc.language.iso | eng | |
dc.publisher | BAISHIDENG PUBLISHING GROUP INC | eng |
dc.relation.ispartof | World Journal of Clinical Cases | |
dc.rights | openAccess | eng |
dc.subject | Anastomosis | eng |
dc.subject | Roux-en-Y | eng |
dc.subject | Argon plasma coagulation | eng |
dc.subject | Bariatric | eng |
dc.subject | Gastric bypass | eng |
dc.subject | Gastrointestinal hemorrhage | eng |
dc.subject | Case report | eng |
dc.subject.other | gastrojejunal anastomosis | eng |
dc.subject.other | surgery | eng |
dc.title | Acute bleeding after argon plasma coagulation for weight regain after gastric bypass: A case report | eng |
dc.type | article | eng |
dc.rights.holder | Copyright BAISHIDENG PUBLISHING GROUP INC | eng |
dc.identifier.doi | 10.12998/wjcc.v7.i15.2038 | |
dc.identifier.pmid | 31423435 | |
dc.subject.wos | Medicine, General & Internal | eng |
dc.type.category | original article | eng |
dc.type.version | publishedVersion | eng |
hcfmusp.author.external | SACHDEV, Amit H.:Harvard Med Sch, Brigham & Womens Hosp, Div Gastroenterol Hepatol & Endoscopy, 75 Francis St, Boston, MA 02115 USA | |
hcfmusp.author.external | LU, Po-Wen:Linkou Chang Gung Mem Hosp, Dept Gastroenterol & Hepatol, Taoyuan 33305, Taiwan | |
hcfmusp.author.external | THOMPSON, Christopher C.:Harvard Med Sch, Brigham & Womens Hosp, Div Gastroenterol Hepatol & Endoscopy, 75 Francis St, Boston, MA 02115 USA | |
hcfmusp.description.beginpage | 2038 | |
hcfmusp.description.endpage | 2043 | |
hcfmusp.description.issue | 15 | |
hcfmusp.description.volume | 7 | |
hcfmusp.origem | WOS | |
hcfmusp.origem.id | WOS:000478984600012 | |
hcfmusp.origem.id | 2-s2.0-85071189690 | |
hcfmusp.publisher.city | PLEASANTON | eng |
hcfmusp.publisher.country | USA | eng |
hcfmusp.relation.reference | Baretta GAP, 2015, OBES SURG, V25, P72, DOI 10.1007/s11695-014-1363-2 | eng |
hcfmusp.relation.reference | Barhouch AS, 2010, OBES SURG, V20, P1479, DOI 10.1007/s11695-010-0202-3 | eng |
hcfmusp.relation.reference | Brunaldi VO, 2018, OBES SURG, V28, P266, DOI 10.1007/s11695-017-2986-x | eng |
hcfmusp.relation.reference | Buchwald H, 2004, JAMA-J AM MED ASSOC, V292, P1724, DOI 10.1001/jama.292.14.1724 | eng |
hcfmusp.relation.reference | Buchwald H, 2007, SURGERY, V142, P621, DOI 10.1016/j.surg.2007.07.018 | eng |
hcfmusp.relation.reference | Dapri G, 2009, SURG OBES RELAT DIS, V5, P678, DOI 10.1016/j.soard.2009.07.001 | eng |
hcfmusp.relation.reference | de Moura DTH, 2019, GASTROENTEROLOGY, V156, P2139, DOI 10.1053/j.gastro.2019.01.255 | eng |
hcfmusp.relation.reference | De Moura DTH, 2019, EXPERT REV ENDOCRINO, V14, P97, DOI 10.1080/17446651.2019.1571907 | eng |
hcfmusp.relation.reference | Hagel AF, 2017, GASTROENT RES PRACT, DOI 10.1155/2017/3083481 | eng |
hcfmusp.relation.reference | Higa KD, 2007, SURG ENDOSC, V21, P1922, DOI 10.1007/s00464-007-9540-1 | eng |
hcfmusp.relation.reference | Inabnet WB, 2010, SURG OBES RELAT DIS, V6, P22, DOI 10.1016/j.soard.2009.10.007 | eng |
hcfmusp.relation.reference | LINNER JH, 1992, AM J CLIN NUTR, V55, P606, DOI 10.1093/ajcn/55.2.606s | eng |
hcfmusp.relation.reference | Livingston EH, 2005, AM J SURG, V190, P816, DOI 10.1016/j.amjsurg.2005.07.026 | eng |
hcfmusp.relation.reference | Moon RC, 2018, OBES SURG, V28, P2737, DOI 10.1007/s11695-018-3229-5 | eng |
hcfmusp.relation.reference | Sung JJY, 2018, GUT, V67, P1757, DOI 10.1136/gutjnl-2018-316276 | eng |
hcfmusp.relation.reference | Thompson CC, 2006, SURG ENDOSC, V20, P1744, DOI 10.1007/s00464-006-0045-0 | eng |
hcfmusp.relation.reference | Thompson CC, 2004, ASGE VID FOR NEW ORL | eng |
dc.description.index | PubMed | eng |
hcfmusp.citation.scopus | 2 | - |
hcfmusp.scopus.lastupdate | 2024-03-29 | - |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - ODS/03 |
Files in This Item:
File | Description | Size | Format | |
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art_MOURA_Acute_bleeding_after_argon_plasma_coagulation_for_weight_2019.PDF | publishedVersion (English) | 4.16 MB | Adobe PDF | View/Open |
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