Jejunal diverticular bleeding treated with hemoclips at double-balloon enteroscopy

Eun, Soo-Hoon; Kim, J. O.; Ko, Bong-Min; Cho, J. Y.; Lee, J. S.; Lee, M. S.; Shim, Chan-Sup

doi:10.1055/s-2007-967053

Cited by 8 publications

(13 citation statements)

References 4 publications

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“…Radiological studies report that the incidence of jejunoileal diverticulosis is 0.02–2.3% 1,2,4 . Complications from jejunoileal diverticular disease, particularly hemorrhage, are clinically challenging for its diagnosis and management 1,5–12 . Only 49 cases of bleeding complications associated with jejunoileal diverticular disease have been reported before 1987, 13 but the number increased to 60 in 1992 2,14 .…”

Section: Introductionmentioning

confidence: 99%

“…Only 49 cases of bleeding complications associated with jejunoileal diverticular disease have been reported before 1987, 13 but the number increased to 60 in 1992 2,14 . With the increased awareness of this rare disease and improved diagnostic tools such as capsule endoscopy and double‐balloon enteroscopy (DBE) 10–12,14,15 , reported cases are increasing.…”

Section: Introductionmentioning

confidence: 99%

“…With the advent of new technology in the past decade the approach towards diagnosis and management is expected to change. However, the literature on the diagnosis and management is mainly limited to case reports 8,10 . Only two small case series from Taiwan 11,12 have reported the utility of DBE in the diagnosis and management of this disease.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Diagnosis and management of jejunoileal diverticular hemorrhage: A decade of experience

Yen

Chen

Yang

et al. 2012

J of Digest Diseases

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Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Diagnosis and management of jejunoileal diverticular hemorrhage: A decade of experience

Yen

Chen

Yang

et al. 2012

J of Digest Diseases

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“…Evaluation of bleeding jejunal diverticula can be identified by radioisotope-tagged red cells, angiography, or double-balloon enteroscopy [16]. Capsule endoscopy has also been used to diagnose jejunal diverticulum; however the risk of retention in the diverticulum has been seen in several cases [17, 18].…”

Section: Discussionmentioning

confidence: 99%

“…Treatment options depending on their hemodynamic status include angiography with embolization, double balloon enteroscopy [16, 20], and laparotomy. In our case, mesenteric angiogram was chosen to help identify the source of bleeding and to offer an intervention if needed.…”

Section: Discussionmentioning

confidence: 99%

ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding

Lee

Carethers

Ghosh

2009

Gastroenterology Research and Practice

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Massive gastrointestinal (GI) bleeding can occur with multiple jejunal diverticulosis. However, significant bleeding in the setting of few diverticulae is very unusual and rare. We report a case of massive gastrointestinal bleeding from an arteriovenous malformation (AVM) within a jejunal diverticulum to underscore the significance of such coexisting pathologies. Mesenteric angiogram was chosen to help identify the source of bleeding and to offer an intervention. Despite endovascular coiling, emergent intestinal resection of the bleeding jejunal segment was warranted to ensure definitive treatment. However several reports have shown jejunal diverticulosis as a rare cause of massive GI bleeding. The coexistence of jejunal diverticulum and AVM is rare and massive bleeding from an acquired Dieulafoy-like AVM within a diverticulum has never previously been described. Awareness of Dieulafoy-like AVM within jejunoileal diverticulosis is useful in preventing delay in treatment.

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Initial Experience with Retrograde Overtube-Assisted Enteroscopy Using a Spiral Tip Overtube

Lara

Singh

Sreenarasimhaiah³

2010

Baylor University Medical Center Proceedings

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Overtube-assisted enteroscopy has expanded therapeutic options for the small bowel, but the effectiveness of spiral tip overtube-assisted endoscopy for retrograde small bowel evaluation is not known. This retrospective study reviewed the results of retrograde enteroscopy procedures among six consecutive patients. In these patients, cecal retroflexion was necessary to enter the terminal ileum when using an enteroscope, and 40 to 130 cm of the distal small bowel was intubated. The average procedure time was 52 minutes. The procedure was diagnostic in four patients, and successful endoscopic therapy was performed in three patients, including completion of a polypectomy at the ileocecal valve, resolution of a distal intestinal obstruction in a patient with cystic fibrosis, and a small bowel anastomotic stricture release. There were no procedure-related complications. Overtube-assisted enteroscopy with the spiral tip overtube allows for antegrade or retrograde evaluation of the small bowel. Pan-enteroscopy may become possible as the technique and equipment improve. The advantages of the different forms of overtube-assisted enteroscopy (spiral, single, and double balloon) need to be determined.

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Jejunal diverticular bleeding treated with hemoclips at double-balloon enteroscopy

Cited by 8 publications

References 4 publications

Diagnosis and management of jejunoileal diverticular hemorrhage: A decade of experience

Diagnosis and management of jejunoileal diverticular hemorrhage: A decade of experience

ArterioVenous Malformation within Jejunal Diverticulum: An Unusual Cause of Massive Gastrointestinal Bleeding

Initial Experience with Retrograde Overtube-Assisted Enteroscopy Using a Spiral Tip Overtube

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