Endoscopic haemostasis of lower gastrointestinal bleeding from an ileocolonic anastomosis constructed using a biofragmentable anastomotic ring.
We describe a case of endoscopically treated severe occult acute and chronic bleeding from an ileocolonic anastomosis constructed using a biofragmentable anastomotic ring (BAR). A 28-year-old white woman presented with two episodes of melaena, a 6-month history of chronic iron-deficiency anaemia and weight loss. An initial oesophagogastroduodenoscopy and colonoscopy failed to reveal the cause of bleeding, whereas a second colonoscopy demonstrated bleeding from the site of the BAR ileocolonic anastomosis. Endoscopic haemostasis was successfully achieved by means of an argon-plasma coagulator.
Bencini
Lapo
L
Surgical Endoscopy Unit, First Department of General Surgery and Transplantation, Careggi Florence Main Hospital.
Manetti
Roberto
R
Naspetti
Riccardo
R
D020341:Absorbable Implants; D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000295:instrumentation; D003106:Colon / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D007082:Ileum / Q000601:surgery*; D012720:Severity of Illness Index