首页|Outcome of patients who have undergone total enteroscopy for obscure gastrointestinal bleeding
Outcome of patients who have undergone total enteroscopy for obscure gastrointestinal bleeding
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NETL
NSTL
万方数据
维普
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.
NETL
NSTL
万方数据
维普
