Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis

Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation in over 30 million individuals daily. Gastrointestinal bleeding (GIB) associated with NSAID consumption has been well documented in gastric and duodenal bleeding; however, NSAID-associated GIB distal to t...

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Main Authors: Esere Nesiama, Letisha Mirembe, Kierra Weber, Sruthy Isaac, Deborah Trammell, Izi Obokhare
Format: Article
Language:English
Published: Wiley 2024-01-01
Series:Case Reports in Surgery
Online Access:http://dx.doi.org/10.1155/2024/4619458
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author Esere Nesiama
Letisha Mirembe
Kierra Weber
Sruthy Isaac
Deborah Trammell
Izi Obokhare
author_facet Esere Nesiama
Letisha Mirembe
Kierra Weber
Sruthy Isaac
Deborah Trammell
Izi Obokhare
author_sort Esere Nesiama
collection DOAJ
description Nonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation in over 30 million individuals daily. Gastrointestinal bleeding (GIB) associated with NSAID consumption has been well documented in gastric and duodenal bleeding; however, NSAID-associated GIB distal to the duodenum lacks extensive documentation. This report highlights small bowel occult bleeding related to NSAID use in a patient with a surgical history of robotic total colectomy with ileorectal anastomosis completed 1 year prior. In the case of bright red blood per rectum with associated NSAID use, we recommend NSAID cessation followed by an individualized treatment plan, such as upper/lower endoscopy and/or angioembolization.
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institution Kabale University
issn 2090-6919
language English
publishDate 2024-01-01
publisher Wiley
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series Case Reports in Surgery
spelling doaj-art-7eff6ac215034232a1c7d311394fd41a2025-02-03T11:37:51ZengWileyCase Reports in Surgery2090-69192024-01-01202410.1155/2024/4619458Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal AnastomosisEsere Nesiama0Letisha Mirembe1Kierra Weber2Sruthy Isaac3Deborah Trammell4Izi Obokhare5University of South Carolina School of Medicine/Prisma Health Department of Orthopaedic SurgeryTexas Tech University Health Sciences Center Amarillo Department of SurgeryUniversity of Florida College of PharmacyTexas Tech University Health Sciences Center School of MedicineTexas Tech University Health Sciences Center Amarillo Department of SurgeryTexas Tech University Health Sciences Center Amarillo Department of SurgeryNonsteroidal anti-inflammatory drugs (NSAIDs) are commonly used to reduce pain and inflammation in over 30 million individuals daily. Gastrointestinal bleeding (GIB) associated with NSAID consumption has been well documented in gastric and duodenal bleeding; however, NSAID-associated GIB distal to the duodenum lacks extensive documentation. This report highlights small bowel occult bleeding related to NSAID use in a patient with a surgical history of robotic total colectomy with ileorectal anastomosis completed 1 year prior. In the case of bright red blood per rectum with associated NSAID use, we recommend NSAID cessation followed by an individualized treatment plan, such as upper/lower endoscopy and/or angioembolization.http://dx.doi.org/10.1155/2024/4619458
spellingShingle Esere Nesiama
Letisha Mirembe
Kierra Weber
Sruthy Isaac
Deborah Trammell
Izi Obokhare
Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
Case Reports in Surgery
title Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
title_full Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
title_fullStr Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
title_full_unstemmed Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
title_short Massive Gastrointestinal Bleeding Related to NSAID Use in a Patient with Ileorectal Anastomosis
title_sort massive gastrointestinal bleeding related to nsaid use in a patient with ileorectal anastomosis
url http://dx.doi.org/10.1155/2024/4619458
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AT kierraweber massivegastrointestinalbleedingrelatedtonsaiduseinapatientwithileorectalanastomosis
AT sruthyisaac massivegastrointestinalbleedingrelatedtonsaiduseinapatientwithileorectalanastomosis
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AT iziobokhare massivegastrointestinalbleedingrelatedtonsaiduseinapatientwithileorectalanastomosis