Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases

Gastroenterology Research and Practice
Yang-Yuan ChenHsu-Heng Yen

Abstract

Small bowel diverticulum is a rare cause of gastrointestinal bleeding. The diagnosis and treatment of small bowel diverticular hemorrhage is clinically challenging before the development of deep enteroscopy. In this multicenter study from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID), 608 patients underwent deep enteroscopy for obscure gastrointestinal bleeding during January 2004 and April 2010 from eight medical centers in Taiwan. Small bowel diverticular hemorrhage account for 7.89% of obscure gastrointestinal bleeding in this study. Most of the patients received endoscopic therapy with an initial hemostasis rate of 85.71% and rebleeding rate of 20%. In this large case series investigating the enteroscopic management of small intestinal diverticular hemorrhage, we found that, as to patients with peptic ulcer hemorrhage, most of these patients can be successfully managed by endoscopic therapy before surgery in the era of deep enteroscopy.

References

Apr 1, 1992·Diseases of the Colon and Rectum·W E Longo, A M Vernava
Feb 15, 2001·Gastrointestinal Endoscopy·H YamamotoK Sugano
Oct 19, 2001·Journal of Clinical Gastroenterology·H E RodriguezF J Podbielski
Oct 30, 2004·Scandinavian Journal of Gastroenterology·M LempinenE Kemppainen
Jul 1, 2005·Digestive Diseases and Sciences·Ming-Yao SuChun-Jun Lin
May 24, 2008·Gastrointestinal Endoscopy·Hsu-Heng YenMaw-Soan Soon
Jan 15, 2009·Journal of Clinical Gastroenterology·Konstantinos MakrisGeorge H Sakorafas
Mar 14, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jen-Wei Chou
Mar 20, 2009·The New England Journal of Medicine·David G ForcioneJoseph Misdraji
Jun 6, 2009·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Chia-Wei YangMaw-Soan Soon
Jun 11, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Lauren B GersonCarol E Semrad
Nov 3, 2009·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Satoshi ShinozakiKentaro Sugano
Nov 19, 2010·Digestive Diseases and Sciences·Tsung-Hsing ChenTa-Sen Yeh
Nov 26, 2010·World Journal of Gastroenterology : WJG·Tsung-Hsing ChenPang-Chi Chen
Apr 27, 2011·ANZ Journal of Surgery·Ker-Kan TanChoon-Kiat Ho

❮ Previous
Next ❯

Citations

Mar 20, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Enrique Pérez-Cuadrado RoblesUNKNOWN Portuguese Small Bowel Study Group (GEPID)
Jan 27, 2021·ANZ Journal of Surgery·Barnabas GohSabu Thomas
Oct 2, 2020·GE Portuguese Journal of Gastroenterology·Enrique Pérez-Cuadrado-RoblesEnrique Pérez-Cuadrado-Martínez

❮ Previous
Next ❯

Methods Mentioned

BETA
surgical resection

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

The Journal of the South Carolina Medical Association
G L PortwoodP B Cotton
Saudi Journal of Gastroenterology : Official Journal of the Saudi Gastroenterology Association
Radhakrishnan SivaMohan Nihar
© 2021 Meta ULC. All rights reserved