Advanced management of postoperative hemorrhage following gastric bypass surgery through super-selective celiac artery coil embolization

A 36-year-old male presented with dizziness and melena 5 years post laparoscopic Roux-en-Y gastric bypass (LRYGB). Initial treatments with proton pump inhibitors and blood transfusions was followed by esophagogastroduodenoscopy (EGD) and CT angiography, identifying an active arterial bleed at the ga...

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Bibliographic Details
Published in:Radiology case reports 2024-11, Vol.19 (11), p.5380-5383
Main Authors: Arain, Nimra Razaque, Fatima, Laveeza, Arain, Umair Razaque, Khan, Ahmed Kamal Nasir
Format: Article
Language:English
Subjects:
Case Report
Gastric bypass surgery
Gastrointestinal bleeding
Late-onset bleeding
Super-selective embolization
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Summary:A 36-year-old male presented with dizziness and melena 5 years post laparoscopic Roux-en-Y gastric bypass (LRYGB). Initial treatments with proton pump inhibitors and blood transfusions was followed by esophagogastroduodenoscopy (EGD) and CT angiography, identifying an active arterial bleed at the gastrojejunal anastomosis. Super-selective celiac artery coil embolization successfully controlled the bleeding. This case highlights the importance of considering late-onset gastrointestinal bleeding as a potential complication post-LRYGB. Early diagnosis and intervention, including advanced radiological techniques, are crucial for successful management and optimal patient outcomes.
ISSN:1930-0433
1930-0433
DOI:10.1016/j.radcr.2024.07.195