Case Report
Copyright ©The Author(s) 2019. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Cases. Aug 6, 2019; 7(15): 2038-2043
Published online Aug 6, 2019. doi: 10.12998/wjcc.v7.i15.2038
Acute bleeding after argon plasma coagulation for weight regain after gastric bypass: A case report
Diogo Turiani Hourneaux de Moura, Amit H Sachdev, Po-Wen Lu, Igor Braga Ribeiro, Christopher C Thompson
Diogo Turiani Hourneaux de Moura, Amit H Sachdev, Christopher C Thompson, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA 02115, United States
Diogo Turiani Hourneaux de Moura, Igor Braga Ribeiro, Department of Gastroenterology, Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil
Po-Wen Lu, Department of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Taoyuan City, 33305, Taiwan
Author contributions: de Moura DTH wrote the paper; Sachdev AH performed the procedures; Lu P and Ribeiro IB collected patient’s data; Thompson CC designed the case report; final version was approved by all authors.
Conflict-of-interest statement: No potential conflicts of interest relevant to this article were reported.
CARE Checklist (2016) statement: The authors have read the CARE Checklist (2016), and the manuscript was prepared and revised according to the CARE Checklist (2016).
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See:
Corresponding author: Diogo Turiani Hourneaux de Moura, MD, MSc, PhD, Academic Fellow, Postdoctoral Fellow, Research Fellow, Surgeon, Division of Gastroenterology, Hepatology and Endoscopy, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis St, Boston, MA 02115, United States.
Telephone: +1-857-2509586‬
Received: April 2, 2019
Peer-review started: April 4, 2019
First decision: June 21, 2019
Revised: June 21, 2019
Accepted: July 20, 2019
Article in press: July 20, 2019
Published online: August 6, 2019
Core Tip

Core tip: We report a case of a patient with weight regain after Roux-en-Y gastric bypass presenting with gastrointestinal bleeding after recent outlet revision with argon plasma coagulation. We highlight several treatment modalities, including mechanical, thermal, and topical endoscopic therapies that can be used to treat this complication.