| 篇名 |
Transcatheter Intra-arterial Vasopressin Infusion for Gastric Pouch Bleeding after Roux-en-Y Gastric Bypass:Report of a Case |
| 作者 |
Chih-Kun Huang, Chih-Min Tai, I-Chang Lin, Kuei-Ching Pan, Li-Chun Lin |
| 卷期/出版年月 |
44卷3期 (2011/6) |
| 頁次 |
103-106 |
| 摘要 |
Roux-en-Y gastric bypass has been accepted as one of standard treatment
procedures for morbidly obese patients. During the early postoperative stage,
gastrointestinal hemorrhage is a complicated condition to manage. Management
involves different strategies according to the patient's condition. Observation, blood
transfusion, endoscopic hemostasis, or re-operation is the most frequently adopted
method. Here, we report on a 51-year-old morbidly obese patient who developed
early postoperative hemorrhage from the gastric pouch. Neither medical treatment
nor endoscopy succeeded in stopping the bleeding. In order to obviate the possibility
of embolization of the only arterial supply to the gastric pouch from the left gastric
artery (LGA), we infused transcatheter intra-arterial vasopressin and successfully
achieved hemostasis. We believe, this is the first case using this type of intervention
to manage gastric pouch hemorrhage after laparoscopic Roux-en-Y gastric bypass
(LRYGB). We advocate that this method be accepted as one of the treatment
modalities before considering re-operation. |
| 關鍵詞 |
gastrointestinal hemorrhage, transcatheter arteriography, LRYGB |
| 分類 |
Case Report |
