Document Type

Article

Publication Date

3-8-2024

Comments

This article is the author’s final published version in Case Reports in Gastroenterology, Volume 18, Issue 1, 2024, Pages 117-121.

The published version is available at https://doi.org/10.1159/000536095. Copyright © 2024 The Author(s). Published by S. Karger AG, Basel.

Publication made possible in part by support from the Jefferson Open Access Fund

Abstract

INTRODUCTION: Biliopancreatic diversion with duodenal switch (BPD/DS) is an uncommon type of bariatric surgery that can rarely lead to bleeding in the biliopancreatic limb. The altered anatomy poses significant diagnostic and therapeutic challenges.

CASE PRESENTATION: We present an unusual case of a woman status post-BPD/DS nearly a decade ago who presented with gastrointestinal bleeding in the duodenum of the biliopancreatic limb, a rare phenomenon given the unique surgery.

CONCLUSION: We illustrate a promising minimally invasive option of successfully treating the bleeding by interventional radiology (IR) embolization as an alternative to more invasive and challenging options of balloon-assisted enteroscopy, lumen-apposing metal stent placement and surgical intraoperative enteroscopy.

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial 4.0 License

PubMed ID

38464456

Language

English

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