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Related Experiment Videos

Case report: intestinal bypass and severe coagulopathy

N Abramson

    The American Journal of the Medical Sciences
    |November 1, 1978
    PubMed
    Summary

    This case study shows a patient with coagulopathy after ileojejunal bypass surgery. Surgical revision successfully corrected the coagulation disorder.

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    Area of Science:

    • Gastroenterology
    • Hematology

    Background:

    • Ileojejunal bypass surgery can lead to serious coagulopathy.
    • Coagulation abnormalities post-bypass require thorough investigation.

    Observation:

    • A 29-year-old woman presented with severe coagulopathy two years after ileojejunal bypass.
    • Initial studies suggested multiple origins for the coagulation defects.

    Findings:

    • Treatment with heparin, epsilon-aminocaproic acid, and plasma in vivo revealed complex coagulation abnormalities.
    • Revision of the ileojejunal bypass was performed.
    • The surgical revision led to rapid and permanent correction of the coagulopathy.

    Implications:

    • This case highlights the potential for surgical revision to resolve complex coagulopathies following ileojejunal bypass.
    • Understanding the multifactorial nature of these bleeding disorders is crucial for effective management.
    • Further research into the long-term effects of bariatric surgery on coagulation is warranted.

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