University of Massachusetts Medical School Faculty Publications

Title

Evaluation of small bowel bleeding

UMMS Affiliation

Department of Medicine, Division of Gastroenterology

Publication Date

3-2013

Document Type

Article

Subjects

Digestive System Surgical Procedures; Endoscopy, Gastrointestinal; Hemorrhage; Lower Gastrointestinal Tract

Disciplines

Analytical, Diagnostic and Therapeutic Techniques and Equipment | Digestive System Diseases | Gastroenterology

Abstract

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.

Rights and Permissions

Citation: Curr Opin Gastroenterol. 2013 Mar;29(2):119-24. doi: 10.1097/MOG.0b013e32835bdc1a. Link to article on publisher's site

Related Resources

Link to Article in PubMed

Journal/Book/Conference Title

Current opinion in gastroenterology

PubMed ID

23168835