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Obscure gastrointestinal bleeding: D iagnosis and treatment
Author(s) -
Ohmiya Naoki,
Nakagawa Yoshihito,
Nagasaka Mituso,
Tahara Tomomitsu,
Shibata Tomoyuki,
Nakamura Masanao,
Hirooka Yoshiki,
Goto Hidemi,
Hirata Ichiro
Publication year - 2015
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12423
Subject(s) - medicine , enteroscopy , gastrointestinal bleeding , medical history , endoscopy , obscure gastrointestinal bleeding , radiology , gi bleeding , general surgery , gastroenterology
Small‐bowel bleeding comprises a majority of obscure gastrointestinal bleeding, but is caused by various kinds of diseases. For its diagnosis, history‐taking and physical examination is requisite, leading to a suspicion of what diseases are involved. Next, cross‐sectional imaging such as computed tomography should be done, followed by the latest enteroscopy, videocapsule endoscopy and deep enteroscopy according to the severity of hemorrhage and patient conditions. After comprehensive diagnosis, medical, enteroscopic, or surgical treatment should be selected.