TY - JOUR
T1 - Roux-en-Y loop varices in children with portal hypertension after liver transplantation
T2 - An unusual cause of "obscure" gastrointestinal bleeding
AU - Chu, Jaime
AU - Kerkar, Nanda
AU - Miloh, Tamir A.
AU - Rodriguez-Laiz, Gonzalo
AU - Lewis, Blair
AU - Stangl, Anondo
AU - Newton, Kimberly P.
AU - Iyer, Kishore
AU - Arnon, Ronen
PY - 2011/12
Y1 - 2011/12
N2 - PHALT may result from graft dysfunction, portal vein thrombosis, arterio-venous fistulas and can lead to GIB, commonly from bleeding esophageal varices. We present three children with GIB requiring multiple blood transfusions that were diagnosed with RY Loop bleeding. Routine EGD, colonoscopy, and CE failed to reveal the bleeding source. However, enteroscopy revealed large varices at the site of hepaticojejunostomy anastomosis in all. Our experience demonstrates that RY loop varices in children with PHALT are a rare and treatable cause of obscure GI bleeding.
AB - PHALT may result from graft dysfunction, portal vein thrombosis, arterio-venous fistulas and can lead to GIB, commonly from bleeding esophageal varices. We present three children with GIB requiring multiple blood transfusions that were diagnosed with RY Loop bleeding. Routine EGD, colonoscopy, and CE failed to reveal the bleeding source. However, enteroscopy revealed large varices at the site of hepaticojejunostomy anastomosis in all. Our experience demonstrates that RY loop varices in children with PHALT are a rare and treatable cause of obscure GI bleeding.
KW - Roux en Y varices
KW - gastrointestinal bleeding
KW - obscure bleeding
KW - pediatric liver transplant
KW - portal hypertension
UR - http://www.scopus.com/inward/record.url?scp=82155197272&partnerID=8YFLogxK
U2 - 10.1111/j.1399-3046.2010.01351.x
DO - 10.1111/j.1399-3046.2010.01351.x
M3 - Article
C2 - 20609173
AN - SCOPUS:82155197272
SN - 1397-3142
VL - 15
SP - E156-E161
JO - Pediatric Transplantation
JF - Pediatric Transplantation
IS - 8
ER -