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  • Title: Gastrointestinal bleeding 30 years after a complicated cholecystectomy.
    Author: Brechmann T, Schmiegel W, Nicolas V, Reiser M.
    Journal: World J Gastroenterol; 2010 Oct 07; 16(37):4747-50. PubMed ID: 20872978.
    Abstract:
    Gastrointestinal bleeding from small-bowel varices is a rare and difficult to treat complication of portal hypertension. We describe the case of a 79-year-old female patient with recurrent severe hemorrhage from small-bowel varices 30 years after a complicated cholecystectomy. When double balloon enteroscopy was unsuccessful to reach the site of bleeding, a rendezvous approach was favored with intraoperative endoscopy. Active bleeding from varices within a biliodigestive anastomosis was found and controlled by endoscopic injection of cyanoacrylate. Intraoperative endoscopy should be considered in the case of life-threatening gastrointestinal hemorrhage that is not accessible by conventional endoscopy.
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