• A 78 yrs female patient came to us for the favor of endotherapy for a single angiomatous lesion seen on previous capsule endoscopy performed elsewhere. Patient has h/o occult G.I. blood loss that required blood transfusions and iron preparation repeatedly for the last 2 years.
  • Antegrade Single Balloon Enteroscopy was performed under general anaesthesia.
  • Scope was passed almost upto 90 cms beyond the DJ flexure and multiple (in total 7) angiodysplastic lesions were seen. No other lesions were seen distal to the last lesion.
  • All the lesions were fulgurated with bipolar heater probe coagulation and Coag grasper forceps to achieve complete haemostasis.

SBE showed angioplastic lesion seen in the Jejunum

Narrow band imaging showed classical spider like appearance of the angiodysplastic lesion

 

 

 

 

 

 

 

 

SBE showed multiple angioplastic lesion seen in the Jejunum

Bipolar heater probe coagulation was then performed on the lesion

Bipolar heater probe coagulation was then performed on the lesion

 

 

 

 

 

 

 

 

Coag grasper forceps to achieve complete haemostasis

Post fulguration appearance of the treated lesion

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