ISSN: 2161-069X

Journal of Gastrointestinal & Digestive System
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  • Case Report   
  • J Gastrointest Dig Syst 2017, Vol 7(6): 545
  • DOI: 10.4172/2161-069X.1000545

Bleeding after Gastric Bypass Surgery: The Possibility of using of Postoperative Balloon Enteroscopy

Solovyeva MO*, Velikorechin AS, Dvoryankin DV and Machs VM
The Federal State Budgetary Institute, The Nikiforov Russian Center of Emergency and Radiation Medicine, , Russian Federation
*Corresponding Author : Solovyeva MO, The Federal State Budgetary Institute, The Nikiforov Russian Center of Emergency and Radiation Medicine, Russian Federation, Tel: +79500041734, Email: mar-sol@mail.ru

Received Date: Feb 07, 2017 / Accepted Date: Dec 22, 2017 / Published Date: Dec 28, 2017

Abstract

In the majority of cases late postoperative bleedings are intraluminal ones, showing clinical manifestations of high gastrointestinal hemorrhage. Among all bariatric procedures, this complication develops more commonly after Rouxen- Y gastric bypass. The most likely cause of such bleedings being peptic ulcer, conservative therapy with proton pump inhibitors is well justified at the initial stages of treatment. Upper endoscopy is the treatment of choice for bleeding ulcers localized in the pouch and 80% of bleedings in the pouch or gastroenteroanastomosis can be controlled in this way.

If the bleeding is localized in the remnant stomach or duodenum and small intestine, more advanced endoscopic procedures are needed. Balloon enteroscopy is one of such techniques, although its efficacy in the treatment of bleeding resulting from biliopancreatic limb is extremely variable and depends mainly on specialist’s skills, length of intestinal loop as well as severity of adhesions in the abdominal cavity. The article describes our experience of enteroscopy used to control bleeding from duodenal ulcer after Roux-en-Y gastric bypass intervention.

Keywords: Roux-en-Y gastric bypass; Postoperative bleeding; Gastrointestinal bleeding; Balloon enteroscopy; Peptic ulcer

Citation: Solovyeva MO, Velikorechin AS, Dvoryankin DV, Machs VM (2017) Bleeding after Gastric Bypass Surgery: The Possibility of using of Postoperative Balloon Enteroscopy . J Gastrointest Dig Syst 7: 545. Doi: 10.4172/2161-069X.1000545

Copyright: © 2017 Solovyeva MO, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

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