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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2021.9
- 수록면
- 754 - 758 (5page)
- DOI
- 10.5946/ce.2021.060
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초록· 키워드
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The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinalbleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb.
There is no consensus regarding the management of this complication. While various techniques have been described to accessthe biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, apediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinalbleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did notreveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using apediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolutionwas found to be satisfactory.
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등록된 정보가 없습니다.
참고문헌 (15)
참고문헌 신청
World Health Organization / Obesity and overweight
Coblijn UK / 2017 / Predicting postoperative complications after bariatric surgery : the Bariatric Surgery Index for Complications, BASIC / Surg Endosc 31:4438~4445
Hendrickson CM / 2018 / Elevated plasma levels of TIMP-3 are associated with a higher risk of acute respiratory distress syndrome and death following severe isolated traumatic brain injury / Trauma Surg Acute Care Open 3:e000171
Fernández-Esparrach G / 2008 / Endoscopic management of early GI hemorrhage after laparoscopic gastric bypass / Gastrointest Endosc 67:552~555
Heneghan HM / 2012 / Incidence and management of bleeding complications after gastric bypass surgery in the morbidly obese / Surg Obes Relat Dis 8:729~735
Coblijn UK / 2017 / Predicting postoperative complications after bariatric surgery : the Bariatric Surgery Index for Complications, BASIC / Surg Endosc 31:4438~4445
Hendrickson CM / 2018 / Elevated plasma levels of TIMP-3 are associated with a higher risk of acute respiratory distress syndrome and death following severe isolated traumatic brain injury / Trauma Surg Acute Care Open 3:e000171
Fernández-Esparrach G / 2008 / Endoscopic management of early GI hemorrhage after laparoscopic gastric bypass / Gastrointest Endosc 67:552~555
Heneghan HM / 2012 / Incidence and management of bleeding complications after gastric bypass surgery in the morbidly obese / Surg Obes Relat Dis 8:729~735
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