Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
. 2020 Aug 21;12(6):539-540.
doi: 10.1136/flgastro-2020-101463. eCollection 2021.

See here! Locating the source of upper GI bleeding

James Hawken  1 , Sara Upponi  2 , Gareth Corbett  3 , Teik Choon See  2 , Joanna A Leithead  1
Affiliations

See here! Locating the source of upper GI bleeding

James Hawken et al. Frontline Gastroenterol. .
No abstract available

Keywords: gastrointestinal bleeding; obesity surgery; portal hypertension.

PubMed Disclaimer

Conflict of interest statement

Competing interests: None declared.

Figures

Figure 1
Figure 1
Coronal oblique image from portal phase computed tomography (CT), no oral contrast.
Figure 2
Figure 2
Prior gastric bypass surgery. Collapsed gastric pouch (arrow head) with a staple line (short arrow) related to the excluded gastric fundus. Efferent draining small bowel loop (curved arrow). Dense haematoma in the remnant stomach (asterix). Porto-systemic collateral at the anastomosis (long arrow). Diffuse steatosis within the liver.
Figure 3
Figure 3
CT image post TIPSS. Amplatzer Vascular Plug (AVP) in the collateral (arrow) and visible TIPSS.
See this image and copyright information in PMC

References

    1. Lo G-H, Liang H-L, Chen W-C, et al. . A prospective, randomized controlled trial of transjugular intrahepatic portosystemic shunt versus cyanoacrylate injection in the prevention of gastric variceal rebleeding. Endoscopy 2007;39:679–85. 10.1055/s-2007-966591 - DOI - PubMed
    1. Tripathi D, Stanley AJ, Hayes PC, et al. . Transjugular intrahepatic portosystemic stent-shunt in the management of portal hypertension. Gut 2020;69:1173–92. 10.1136/gutjnl-2019-320221 - DOI - PMC - PubMed
    1. Heneghan HM, Meron-Eldar S, Yenumula P, et al. . Incidence and management of bleeding complications after gastric bypass surgery in the morbidly obese. Surg Obes Relat Dis 2012;8:729–35. 10.1016/j.soard.2011.05.011 - DOI - PubMed
    1. Almaghrabi MM, Qumosani K, Mujoomdar A, et al. . A150 a rare case of obscure Gi bleeding secondary to ectopic small intestinal varices post Roux-en-Y gastric bypass. J Can Assoc Gastroenterol 2019;2:297–8. 10.1093/jcag/gwz006.149 - DOI
    1. Feng Y, Onkendi E, Sarr MG. Chronic gastrointestinal bleeding from an internal hernia after Roux-en-Y gastric bypass causing superior mesenteric venous obstruction with associated intestinal varices. Surg Obes Relat Dis 2015;11:e29–31. 10.1016/j.soard.2015.04.015 - DOI - PubMed

LinkOut - more resources