A case of bleeding of choledocho-jejuno anastomosis successfully treated by argon plasma coagulation Article Swipe
Shintaro Tsujikawa
,
Keiichi Kawana
,
Wataru Shiratori
,
Noriyuki Kanazawa
,
Shiori Uchiyama
,
Yuusuke Sekino
,
Hajime Nagase
·
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.11641/pde.92.1_150
YOU?
·
· 2018
· Open Access
·
· DOI: https://doi.org/10.11641/pde.92.1_150
A 64-year-old man with jaundice was diagnosed with pancreatic head cancer (T3N1M0 stage III) , and gastroduodenectomy of pancreaticoduodenoductomy (SSPPD-II-A) was performed. Enhanced computed tomography revealed local recurrence and metastasis in the liver and portal stenosis 6 months after SSPPD-II-A. The patient had melena after 10 months, and he was admitted because of gastrointestinal bleeding, with hemoglobin of 4.5 g/dl. Esophagogastroduodenoscopy and colonoscopy did not reveal other sources of bleeding. Bleeding scintigraphy was performed, which revealed a bleeding source in the afferent loop. He underwent small intestine endoscopy, which showed vasodilation at the choledocho-jejuno anastomosis. We conclude that vasodilation of the choledocho-jejuno anastomosis occurred because of portal hypertension due to portal stenosis caused by tumor local recurrence. We conducted argon plasma coagulation for vasodilation thrice, and melena did not recur until his death.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.11641/pde.92.1_150
- https://www.jstage.jst.go.jp/article/pde/92/1/92_150/_pdf
- OA Status
- diamond
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W2884305982
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W2884305982Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.11641/pde.92.1_150Digital Object Identifier
- Title
-
A case of bleeding of choledocho-jejuno anastomosis successfully treated by argon plasma coagulationWork title
- Type
-
articleOpenAlex work type
- Language
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enPrimary language
- Publication year
-
2018Year of publication
- Publication date
-
2018-06-15Full publication date if available
- Authors
-
Shintaro Tsujikawa, Keiichi Kawana, Wataru Shiratori, Noriyuki Kanazawa, Shiori Uchiyama, Yuusuke Sekino, Hajime NagaseList of authors in order
- Landing page
-
https://doi.org/10.11641/pde.92.1_150Publisher landing page
- PDF URL
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https://www.jstage.jst.go.jp/article/pde/92/1/92_150/_pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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diamondOpen access status per OpenAlex
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https://www.jstage.jst.go.jp/article/pde/92/1/92_150/_pdfDirect OA link when available
- Concepts
-
Melena, Medicine, Argon plasma coagulation, Anastomosis, Stenosis, Surgery, Colonoscopy, Hyperamylasemia, Gastrointestinal bleeding, Esophagogastroduodenoscopy, Gastroenterology, Internal medicine, Radiology, Endoscopy, Cancer, Colorectal cancer, Chemistry, Enzyme, Amylase, BiochemistryTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
0Total citation count in OpenAlex
- Related works (count)
-
10Other works algorithmically related by OpenAlex
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