Endoscopy 2020; 52(S 01): S153
DOI: 10.1055/s-0040-1704471
ESGE Days 2020 ePoster Podium presentations
Friday, April 24, 2020 09:00 – 09:30 Upper GI: Management of complications 2 ePoster Podium 1
© Georg Thieme Verlag KG Stuttgart · New York

MASSIVE GASTRIC BLEEDING IN A BYPASSED ANATOMY: A CHALLENGING DIAGNOSTIC AND THERAPEUTIC SCENARIO

C Mendoza
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
,
OV Hernandez
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
,
G Blanco
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
,
R Palos
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
,
E Murcio
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
,
OM Solorzano
Instituto Mexicano del Seguro Social, Endoscopy, Mexico City, Mexico
› Author Affiliations
Further Information

Publication History

Publication Date:
23 April 2020 (online)

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We present the case of a 29 year male who had a mini-gastric bypass (one anastomosis gastric bypass) 3 years ago.

He presented to the emergency room after a syncope episode, he had had melena for 2 days. On arrival he was found with pallor, tachycardia and a crystalloid responsive hypotension, as well as a moderate anemia (Hb 9 g/dL, after being transfused 3 RBC units in a local hospital).

Upper endoscopy, ileo-colonoscopy, computed tomography angiography and VCE (delivered in the efferent loop) did not show bleeding site. So we performed a double-balloon enteroscopy to explore the bypassed section.