Endoscopic management of anastomotic bleeding in the ileal pouch with staples removal and clipping

Wu, Xian; Lan, Nan; Shen, Bo

doi:10.1590/s2237-93632013000100008

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2017

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“…For management of late pouch bleeding following IPAA, no standardised protocol is available in the literature. Treatment with epinephrine enema could prove effective in cases of a diffuse pouch bleed, while endoscopic cauterisation or clipping might be more effective when specific bleeding points could be identified 8. Until the early 1990s, the only treatment available for pseudoaneurysm was surgical ligation.…”

Section: Discussionmentioning

confidence: 99%

Pouch pseudoaneurysm: a rare cause of recurrent haemorrhage following ileal pouch-anal anastomosis

et al. 2017

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Bleeding following restorative proctocolectomy for chronic ulcerative colitis is an uncommon complication. Usually bleeding occurs from the ileal pouch-anal anastomotic site in the early postoperative period. Significant pouch bleeding in the late postoperative course is rarely encountered. A mesenteric artery pseudoaneurysm along the ileal pouch staple line may be a cause of late-presenting massive per-rectal bleed. Although a rare phenomenon, it must be considered to be a differential in such a situation.

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Section: Discussionmentioning

confidence: 99%