Roux-en-Y loop varices in children with portal hypertension after liver transplantation: An unusual cause of "obscure" gastrointestinal bleeding

Jaime Chu, Nanda Kerkar, Tamir A. Miloh, Gonzalo Rodriguez-Laiz, Blair Lewis, Anondo Stangl, Kimberly P. Newton, Kishore Iyer, Ronen Arnon

Research output: Contribution to journalArticlepeer-review

5 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)E156-E161
JournalPediatric Transplantation
Volume15
Issue number8
DOIs
StatePublished - Dec 2011
Externally publishedYes

Keywords

  • gastrointestinal bleeding
  • obscure bleeding
  • pediatric liver transplant
  • portal hypertension
  • Roux en Y varices

ASJC Scopus subject areas

  • Pediatrics, Perinatology, and Child Health
  • Transplantation

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