ArticleACG case reports journal2026
Endoscopic Ultrasound-Guided Gastric Remnant Access for Massive Upper Gastrointestinal Bleeding in Roux-en-Y Anatomy.
Article in ACG case reports journal, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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3 authors.
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Abstract
This case reports a novel and successful attempt at identifying and treating massive upper gastrointestinal bleeding in an unstable patient with Roux-en-Y anatomy via endoscopic ultrasound-directed transgastric intervention and over-the-scope clip placement. The remnant stomach was located under endoscopic ultrasound and accessed via gastrogastrostomy, which was created via lumen-apposing metal stent placement. The lesion was identified, and hemostasis was achieved with epinephrine injection and over-the-scope clip deployment. The patient made a full recovery with a healed lesion at outpatient follow-up. This method can pave the way for future improvement in minimally invasive treatment modalities for patients with altered gastrointestinal anatomy.
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