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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Format: | Article |
Language: | English |
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Wiley
2024-01-01
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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. |
format | Article |
id | doaj-art-7eff6ac215034232a1c7d311394fd41a |
institution | Kabale University |
issn | 2090-6919 |
language | English |
publishDate | 2024-01-01 |
publisher | Wiley |
record_format | Article |
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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