PMID: 11330392May 2, 2001Paper

Enteroscopy as a tool for diagnosing gastrointestinal bleeding requiring blood transfusion

Surgical Laparoscopy, Endoscopy & Percutaneous Techniques
C Söderman, A Uribe

Abstract

Iron-deficiency anemia secondary to gastrointestinal blood loss is a common cause of hospitalization. In many cases, the bleeding site cannot be defined despite thorough routine examination of the gastrointestinal tract. The aim of this study was to evaluate push enteroscopy as a diagnostic tool in patients with severe anemia, secondary to recurrent gastrointestinal bleeding, that required management by transfusion. Thirty-five consecutive push enteroscopy investigations were performed in 1998 and 1999 on 25 patients (15 men, 10 women). Mean age was 57 +/- 16 years (range, 33-83). All patients had received blood transfusions because of pronounced anemia secondary to gastrointestinal bleeding. Before push enteroscopy, all patients had been investigated with esophagogastroduodenoscopy, colonoscopy, and small-bowel radiography using the double contrast technique; no bleeding site was found. In addition, 10 of 25 patients had been investigated beforehand with 99mTc-labelled red blood cell scintigraphy, and 5 of 25 with scintigraphy for Meckel diverticulum. Two patients were also investigated with angiography before the push enteroscopy, and in six patients an additional total intraoperative enteroscopy was performed, preceded by a ...Continue Reading

References

Aug 1, 1974·Annals of Surgery·H SilbermanH S Caplan
Sep 15, 1983·The New England Journal of Medicine·M L Steer, W Silen
Mar 19, 1999·Endoscopy·J D Waye

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Citations

Mar 20, 2008·World Journal of Gastroenterology : WJG·Mou-Bin LinQian-Jian Qian

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