Document Detail


Outcome of patients who have undergone total enteroscopy for obscure gastrointestinal bleeding.
MedLine Citation:
PMID:  22363138     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
AIM: To assess the diagnostic success and outcome among patients with obscure gastrointestinal bleeding who underwent total enteroscopy with double-balloon endoscopy.
METHODS: Total enteroscopy was attempted in 156 patients between August 2003 and June 2008 at Hiroshima University Hospital and achieved in 75 (48.1%). It is assessed whether sources of bleeding were identified, treatment methods, complications, and 1-year outcomes (including re-bleeding) after treatment, and we compared re-bleeding rates among patients.
RESULTS: The source of small bowel bleeding was identified in 36 (48.0%) of the 75 total enteroscopy patients; the source was outside the small bowel in 11 patients (14.7%) and not identified in 28 patients (37.3%). Sixty-one of the 75 patients were followed up for more than 1 year (27.2 ± 13.3 mo). Four (6.6%) of these patients showed signs of re-bleeding during the first year, but bleeding did not recur after treatment. Although statistical significance was not reached, a marked difference was found in the re-bleeding rate between patients in whom total enteroscopy findings were positive (8.6%, 3/35) and negative (3.8%, 1/26) (3/35 vs 1/26, P = 0.63).
CONCLUSION: A good outcome can be expected for patients who undergo total enteroscopy and receive proper treatment for the source of bleeding in the small bowel.
Authors:
Takayoshi Shishido; Shiro Oka; Shinji Tanaka; Hiroki Imagawa; Yoshito Takemura; Shigeto Yoshida; Kazuaki Chayama
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  World journal of gastroenterology : WJG     Volume:  18     ISSN:  1007-9327     ISO Abbreviation:  World J. Gastroenterol.     Publication Date:  2012 Feb 
Date Detail:
Created Date:  2012-02-24     Completed Date:  2012-04-11     Revised Date:  2013-06-26    
Medline Journal Info:
Nlm Unique ID:  100883448     Medline TA:  World J Gastroenterol     Country:  China    
Other Details:
Languages:  eng     Pagination:  666-72     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Hiroshima University, Hiroshima 734-8551, Japan.
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Double-Balloon Enteroscopy / adverse effects,  methods*
Female
Gastrointestinal Hemorrhage / diagnosis,  surgery*
Humans
Male
Middle Aged
Retrospective Studies
Treatment Outcome
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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