Open AccessGastrointestinal bleeding 30 years after a complicated cholecystectomy
Author(s) -
Thorsten Brechmann,
Wolff Schmiegel,
Volkmar Nicolas,
Markus Reiser
Publication year - 2010
Publication title -
world journal of gastroenterology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.427
H-Index - 155
eISSN - 2219-2840
pISSN - 1007-9327
DOI - 10.3748/wjg.v16.i37.4747
Subject(s) - medicine , varices , endoscopy , gastrointestinal bleeding , enteroscopy , double balloon enteroscopy , anastomosis , cholecystectomy , portal hypertension , cyanoacrylate , surgery , complication , general surgery , gastroenterology , cirrhosis , chemistry , adhesive , organic chemistry , layer (electronics)
Gastrointestinal bleeding from small-bowel varices is a rare and difficult to treat complication of portal hypertension. We describe the case of a 79-year-old female patient with recurrent severe hemorrhage from small-bowel varices 30 years after a complicated cholecystectomy. When double balloon enteroscopy was unsuccessful to reach the site of bleeding, a rendezvous approach was favored with intraoperative endoscopy. Active bleeding from varices within a biliodigestive anastomosis was found and controlled by endoscopic injection of cyanoacrylate. Intraoperative endoscopy should be considered in the case of life-threatening gastrointestinal hemorrhage that is not accessible by conventional endoscopy.