| Incidence of bleeding lesions within reach of conventional upper and lower endoscopes in patients undergoing double-balloon enteroscopy for obscure gastrointestinal bleeding. | |
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MedLine Citation:
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PMID: 19035975 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND: Double-balloon enteroscopy (DBE) is a useful method for evaluation of obscure gastrointestinal bleeding (OGIB). AIM: To determine the incidence of lesions within reach of conventional upper and lower endoscopes as the cause of OGIB in patients referred for DBE. METHODS: All patients undergoing DBE for OGIB during a 3.5-year period at a university hospital were studied. OGIB was defined according to American Gastroenterological Association (AGA) guidelines. RESULTS: One hundred and forty-three DBEs were performed in 107 patients for obscure overt (n=85) and obscure occult (n=22) GIB. Lesions outside the SB as possible sources of GIB were found in 51 patients (47.6%) and a definite source of bleeding outside the small bowel (SB) was detected in 26 patients (24.3%). Lesions considered to explain a definite source of GIB were: gastric ulcer (n=3), duodenal ulcer (n=3), Cameron's lesions (n=2), gastric antral vascular ectasias (n=4), radiation proctitis (n=1), radiation ileitis (n=2), duodenal angiodysplasias (n=1), haemorrhoids with stigmata of recent bleed (n=1), colon angiodysplasias (n=3), colon diverticulosis (n=3), colonic Crohn's disease (n=1), anastomotic ulcers (n=1). CONCLUSIONS: The frequency of non-SB lesions definitely explaining the source of GIB in patients referred for DBE was 24.3%. Therefore, repeat esophago-gastroduodenoscopy (EGD) and ileocolonoscopy should be taken into consideration before DBE. |
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Authors:
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L C Fry; M Bellutti; H Neumann; P Malfertheiner; K Mönkemüller |
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Publication Detail:
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Type: Journal Article Date: 2008-11-13 |
Journal Detail:
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Title: Alimentary pharmacology & therapeutics Volume: 29 ISSN: 1365-2036 ISO Abbreviation: Aliment. Pharmacol. Ther. Publication Date: 2009 Feb |
Date Detail:
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Created Date: 2009-01-09 Completed Date: 2009-04-02 Revised Date: 2009-04-16 |
Medline Journal Info:
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Nlm Unique ID: 8707234 Medline TA: Aliment Pharmacol Ther Country: England |
Other Details:
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Languages: eng Pagination: 342-9 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Aged Aged, 80 and over Balloon Dilatation / adverse effects*, methods Diagnosis, Differential Endoscopy, Gastrointestinal / adverse effects*, methods Female Gastrointestinal Hemorrhage / etiology* Humans Male Middle Aged Prospective Studies Treatment Outcome Young Adult |
| Comments/Corrections | |
Comment In:
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Aliment Pharmacol Ther. 2009 Apr 15;29(8):918-9; author reply 919-20
[PMID:
19338648
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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