FRINK Linked Data Fragments server

Matches in SemOpenAlex for { <https://semopenalex.org/work/W3208207170> ?p ?o ?g. }

• W3208207170 endingPage "S942" @default.
• W3208207170 startingPage "S942" @default.
• W3208207170 abstract "Introduction: Embolization coil migration into the gastrointestinal tract is an extremely rare complication. Several case reports have described coil migration into the gastrointestinal tract after treatment of gastric varices, splenic artery pseudoaneurysm, and post-liver transplant. There is no standard of care for migrated coils, and treatment has ranged from conservative management to surgical/endoscopic removal. We report a rare case of coil migration into the stomach after direct intrahepatic portosystemic shunt (DIPS) and variceal coiling of gastric varices. Case Description/Methods: A 61-year-old man admitted with 3-week onset of epigastric pain. He has history of NASH cirrhosis complicated by bleeding esophageal and gastric varices status post coiling and embolization with DIPS in 2016. Pain was exacerbated by certain positions, and improved in the left lateral decubitus position. Pain was not related to food intake. Vitals were stable and labs were unremarkable at presentation.CT scan of abdomen and pelvis with IV contrast showed possible foreign body in the gastric lumen (Figure 1A). EGD showed migration of previous variceal coils into the gastric lumen, particularly around in the fundus and cardia (Figures 1B-C). Venogram was obtained to asses anatomy and coil location. This demonstrated complete occlusion of the previously embolized gastric varices. After the venogram, EGD was completed with successful removal of visibly migrated coils using small biopsy forceps (Figure 1D). No bleeding or complications occurred after the procedure. Although subsequent imaging showed remaining coils, there were significantly less compared to admission. The patient had intermittent resolution of his abdominal pain, but was readmitted several times afterwards for EGD removal of remaining coils. Discussion: Although etiology is unclear, the mechanism of variceal coil migration is likely related to fistula formation and inflammation within the gastric wall. In this case we attempted treatment endoscopically with removal of variceal coils with biopsy forceps. Successful removal of visualized coils alleviated abdominal pain, though it was temporary. An alternative treatment would be surgical intervention, however given risk of decompensation of cirrhosis and complications, it would be as a last resort. In the setting of successfully embolized vessels, we believe it is safe for endoscopic retrieval of the gastric coils in symptomatic patients.Figure 1.: (A) CT abdomen and pelvis showing metallic foreign body (red arrow) - coil migration from previous embolization. (B-D) Endoscopic images showing coils (yellow arrow) from previous IR intervention found in stomach fundus and cardia status post removal using small biopsy forceps." @default.
• W3208207170 created "2021-11-08" @default.
• W3208207170 creator A5007834757 @default.
• W3208207170 creator A5020192880 @default.
• W3208207170 date "2021-10-01" @default.
• W3208207170 modified "2023-09-27" @default.
• W3208207170 title "S2198 Are Migrated Variceal Coils Amenable to Endoscopic Treatment?" @default.
• W3208207170 doi "https://doi.org/10.14309/01.ajg.0000782324.00556.e2" @default.
• W3208207170 hasPublicationYear "2021" @default.
• W3208207170 type Work @default.
• W3208207170 sameAs 3208207170 @default.
• W3208207170 citedByCount "0" @default.
• W3208207170 crossrefType "journal-article" @default.
• W3208207170 hasAuthorship W3208207170A5007834757 @default.
• W3208207170 hasAuthorship W3208207170A5020192880 @default.
• W3208207170 hasBestOaLocation W32082071701 @default.
• W3208207170 hasConcept C126322002 @default.
• W3208207170 hasConcept C126838900 @default.
• W3208207170 hasConcept C141071460 @default.
• W3208207170 hasConcept C2776035437 @default.
• W3208207170 hasConcept C2777214474 @default.
• W3208207170 hasConcept C2777595160 @default.
• W3208207170 hasConcept C2778012290 @default.
• W3208207170 hasConcept C2778808290 @default.
• W3208207170 hasConcept C2779195621 @default.
• W3208207170 hasConcept C2779983558 @default.
• W3208207170 hasConcept C2780852908 @default.
• W3208207170 hasConcept C2780955771 @default.
• W3208207170 hasConcept C2991960855 @default.
• W3208207170 hasConcept C71924100 @default.
• W3208207170 hasConceptScore W3208207170C126322002 @default.
• W3208207170 hasConceptScore W3208207170C126838900 @default.
• W3208207170 hasConceptScore W3208207170C141071460 @default.
• W3208207170 hasConceptScore W3208207170C2776035437 @default.
• W3208207170 hasConceptScore W3208207170C2777214474 @default.
• W3208207170 hasConceptScore W3208207170C2777595160 @default.
• W3208207170 hasConceptScore W3208207170C2778012290 @default.
• W3208207170 hasConceptScore W3208207170C2778808290 @default.
• W3208207170 hasConceptScore W3208207170C2779195621 @default.
• W3208207170 hasConceptScore W3208207170C2779983558 @default.
• W3208207170 hasConceptScore W3208207170C2780852908 @default.
• W3208207170 hasConceptScore W3208207170C2780955771 @default.
• W3208207170 hasConceptScore W3208207170C2991960855 @default.
• W3208207170 hasConceptScore W3208207170C71924100 @default.
• W3208207170 hasIssue "1" @default.
• W3208207170 hasLocation W32082071701 @default.
• W3208207170 hasLocation W32082071702 @default.
• W3208207170 hasOpenAccess W3208207170 @default.
• W3208207170 hasPrimaryLocation W32082071701 @default.
• W3208207170 hasRelatedWork W2041697455 @default.
• W3208207170 hasRelatedWork W2053426617 @default.
• W3208207170 hasRelatedWork W2357887680 @default.
• W3208207170 hasRelatedWork W2361947565 @default.
• W3208207170 hasRelatedWork W2391557052 @default.
• W3208207170 hasRelatedWork W2791271544 @default.
• W3208207170 hasRelatedWork W2894404943 @default.
• W3208207170 hasRelatedWork W3203628225 @default.
• W3208207170 hasRelatedWork W3215816062 @default.
• W3208207170 hasRelatedWork W4286615870 @default.
• W3208207170 hasVolume "116" @default.
• W3208207170 isParatext "false" @default.
• W3208207170 isRetracted "false" @default.
• W3208207170 magId "3208207170" @default.
• W3208207170 workType "article" @default.