Evaluation of small bowel bleeding
Department of Medicine, Division of Gastroenterology
Digestive System Surgical Procedures; Endoscopy, Gastrointestinal; Hemorrhage; Lower Gastrointestinal Tract
Analytical, Diagnostic and Therapeutic Techniques and Equipment | Digestive System Diseases | Gastroenterology
PURPOSE OF REVIEW: The review focuses on the latest techniques that are evolving in the management of small bowel bleeding.
RECENT FINDINGS: Video capsule endoscopy has the highest yield of diagnosis when it is performed within 48 h of the bleeding event (78 versus 48%). The pooled detection rate of double balloon endoscopy was noted to be 68.1% for obscure gastrointestinal bleeding according to a systematic review of 66 studies in the last 10 years. Also a recent review, which focused on analysis of 68 studies found that the procedural characteristics were comparable for double balloon, single balloon and spiral enteroscopy though the procedure time was fastest for the spiral enteroscopy group. Medical therapy for vascular lesions is in its infancy but shows promise.
SUMMARY: Advanced diagnostic and therapeutic endoscopic techniques are changing the paradigm of care for patients with small bowel bleeding.
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Citation: Curr Opin Gastroenterol. 2013 Mar;29(2):119-24. doi: 10.1097/MOG.0b013e32835bdc1a. Link to article on publisher's site
Current opinion in gastroenterology
Singh, Anupam; Baptista, Veronica; Stoicov, Calin; and Cave, David R., "Evaluation of small bowel bleeding" (2013). University of Massachusetts Medical School Faculty Publications. 155.