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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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Published in: | Radiology case reports 2024-11, Vol.19 (11), p.5380-5383 |
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description | 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. |
doi_str_mv | 10.1016/j.radcr.2024.07.195 |
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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. 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Early diagnosis and intervention, including advanced radiological techniques, are crucial for successful management and optimal patient outcomes.</description><subject>Case Report</subject><subject>Gastric bypass surgery</subject><subject>Gastrointestinal bleeding</subject><subject>Late-onset bleeding</subject><subject>Super-selective embolization</subject><issn>1930-0433</issn><issn>1930-0433</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2024</creationdate><recordtype>article</recordtype><sourceid>DOA</sourceid><recordid>eNp9ks1u1DAUhSMEoqXwBEjISzYz-C9OskCoqmipVIkNrK3rm5uMR0k82JmphifgsfHMlKrdsPLfud-9Oj5F8V7wpeDCfFovI7QYl5JLveTVUjTli-JcNIovuFbq5ZP9WfEmpTXnRtWVeF2cqUbWvNLNefHnst3BhNSyESboaaRpZqFjm5DmsKEIs98RW9EYYlzld9aFYQj3fupZD2mOHpnbbyAllraxp7hn8yqGbb_K51y-SDQQHhlIgwdkEOeDCoMfGI0uDP537hGmt8WrDoZE7x7Wi-Ln9dcfV98Wd99vbq8u7xYoK1Muypqj5E3X1aZyDsHVvGxM2QpBTmsFtVQtGGyRkzZknFMINcrSOYEdF626KG5P3DbA2m6iHyHubQBvjxch9jaP6HEgW2NjCKU2neYatXINlJVsaiWVg0pQZn05sTZbN1KL2bsIwzPo85fJr2wfdlYIzaUwZSZ8fCDE8GtLabajT9mpASYK22SV4IarRuuDVJ2kGENKkbrHPoLbQyDs2h4DYQ-BsLyyORC56sPTER9r_iUgCz6fBJRN33mKNqGnQyJ8zD-XXfH_bfAXI6nNVg</recordid><startdate>202411</startdate><enddate>202411</enddate><creator>Arain, Nimra Razaque</creator><creator>Fatima, Laveeza</creator><creator>Arain, Umair Razaque</creator><creator>Khan, Ahmed Kamal Nasir</creator><general>Elsevier Inc</general><general>Elsevier</general><scope>6I.</scope><scope>AAFTH</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope><scope>5PM</scope><scope>DOA</scope></search><sort><creationdate>202411</creationdate><title>Advanced management of postoperative hemorrhage following gastric bypass surgery through super-selective celiac artery coil embolization</title><author>Arain, Nimra Razaque ; Fatima, Laveeza ; Arain, Umair Razaque ; Khan, Ahmed Kamal Nasir</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c2765-580c209ff867bbcab805965d11eb443a823da6cdc0e46e6bb3ca8c25bb1cf01d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2024</creationdate><topic>Case Report</topic><topic>Gastric bypass surgery</topic><topic>Gastrointestinal bleeding</topic><topic>Late-onset bleeding</topic><topic>Super-selective embolization</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Arain, Nimra Razaque</creatorcontrib><creatorcontrib>Fatima, Laveeza</creatorcontrib><creatorcontrib>Arain, Umair Razaque</creatorcontrib><creatorcontrib>Khan, Ahmed Kamal Nasir</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><collection>DOAJ Directory of Open Access Journals</collection><jtitle>Radiology case reports</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Arain, Nimra Razaque</au><au>Fatima, Laveeza</au><au>Arain, Umair Razaque</au><au>Khan, Ahmed Kamal Nasir</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Advanced management of postoperative hemorrhage following gastric bypass surgery through super-selective celiac artery coil embolization</atitle><jtitle>Radiology case reports</jtitle><addtitle>Radiol Case Rep</addtitle><date>2024-11</date><risdate>2024</risdate><volume>19</volume><issue>11</issue><spage>5380</spage><epage>5383</epage><pages>5380-5383</pages><issn>1930-0433</issn><eissn>1930-0433</eissn><abstract>A 36-year-old male presented with dizziness and melena 5 years post laparoscopic Roux-en-Y gastric bypass (LRYGB). 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source | ScienceDirect; PubMed Central |
subjects | Case Report Gastric bypass surgery Gastrointestinal bleeding Late-onset bleeding Super-selective embolization |
title | Advanced management of postoperative hemorrhage following gastric bypass surgery through super-selective celiac artery coil embolization |
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