Small Bowel-UPPER SINGLE BALLOON ASSISTED ENTEROSCOPY WITH ENDOSCOPIC MUCOSAL RESECTION OF A BLEEDING JEJUNAL LYMPHANGIOMA

UPPER SINGLE BALLOON ASSISTED ENTEROSCOPY WITH ENDOSCOPIC MUCOSAL RESECTION OF A BLEEDING JEJUNAL LYMPHANGIOMA

Video Transcription

Video Summary

The video discusses the case of a 75-year-old male who presented with new-onset anemia and subsequent fatigue and weakness. Initial tests were normal, but further evaluation with video capsule endoscopy revealed a submucosal polyploid lesion in the jejunum, causing bleeding. The lesion was successfully treated through single-balloon-assisted enteroscopy, involving injection of hetastarch and epinephrine, closure with hemostatic clips, and placement of tattoos for future identification. Pathology confirmed a jejunal lymphangioma, a rare tumor. The video highlights the usefulness of video capsule endoscopy in identifying occult bleeding in the small bowel and the technical feasibility of endoscopic resection in experienced hands. No disclosures were given.

Asset Subtitle

Honorable Mention

Keywords

anemia

video capsule endoscopy

bleeding

jejunal lymphangioma

occult bleeding