Obscure Gastrointestinal Bleeding: An Approach to Management
Obscure gastrointestinal bleeding provides an uncommon but frustrating and resource-intensive challenge for clinicians. Such patients hemorrhage recurrently from sites within the gastrointestinal tract that are not detected by routine endoscopy or radiography, and require a special diagnostic approa...
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| Main Authors: | , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2000-01-01
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| Series: | Canadian Journal of Gastroenterology |
| Online Access: | http://dx.doi.org/10.1155/2000/843704 |
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| _version_ | 1850226130439634944 |
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| author | JK Marshall OA Lesi RH Hunt |
| author_facet | JK Marshall OA Lesi RH Hunt |
| author_sort | JK Marshall |
| collection | DOAJ |
| description | Obscure gastrointestinal bleeding provides an uncommon but frustrating and resource-intensive challenge for clinicians. Such patients hemorrhage recurrently from sites within the gastrointestinal tract that are not detected by routine endoscopy or radiography, and require a special diagnostic approach to localize or exclude less common bleeding sources such as small bowel angioectasia or neoplasia. The differential diagnosis of obscure gastrointestinal hemorrhage is discussed, and the performance of available endoscopic, radiological and surgical diagnostic tools including enteroscopy are examined critically. A stepwise management algorithm that progresses from the history and physical examination to surgical exploration is offered to facilitate early and efficient diagnosis. |
| format | Article |
| id | doaj-art-5ecfb939ff2a4befbccfbc8ff2b22740 |
| institution | OA Journals |
| issn | 0835-7900 |
| language | English |
| publishDate | 2000-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology |
| spelling | doaj-art-5ecfb939ff2a4befbccfbc8ff2b227402025-08-20T02:05:10ZengWileyCanadian Journal of Gastroenterology0835-79002000-01-0114211111810.1155/2000/843704Obscure Gastrointestinal Bleeding: An Approach to ManagementJK Marshall0OA Lesi1RH Hunt2Division of Gastroenterology, Department of Medicine, and Intestinal Disease Research Programme, McMaster University, Hamilton, Ontario, CanadaDivision of Gastroenterology, Department of Medicine, and Intestinal Disease Research Programme, McMaster University, Hamilton, Ontario, CanadaDivision of Gastroenterology, Department of Medicine, and Intestinal Disease Research Programme, McMaster University, Hamilton, Ontario, CanadaObscure gastrointestinal bleeding provides an uncommon but frustrating and resource-intensive challenge for clinicians. Such patients hemorrhage recurrently from sites within the gastrointestinal tract that are not detected by routine endoscopy or radiography, and require a special diagnostic approach to localize or exclude less common bleeding sources such as small bowel angioectasia or neoplasia. The differential diagnosis of obscure gastrointestinal hemorrhage is discussed, and the performance of available endoscopic, radiological and surgical diagnostic tools including enteroscopy are examined critically. A stepwise management algorithm that progresses from the history and physical examination to surgical exploration is offered to facilitate early and efficient diagnosis.http://dx.doi.org/10.1155/2000/843704 |
| spellingShingle | JK Marshall OA Lesi RH Hunt Obscure Gastrointestinal Bleeding: An Approach to Management Canadian Journal of Gastroenterology |
| title | Obscure Gastrointestinal Bleeding: An Approach to Management |
| title_full | Obscure Gastrointestinal Bleeding: An Approach to Management |
| title_fullStr | Obscure Gastrointestinal Bleeding: An Approach to Management |
| title_full_unstemmed | Obscure Gastrointestinal Bleeding: An Approach to Management |
| title_short | Obscure Gastrointestinal Bleeding: An Approach to Management |
| title_sort | obscure gastrointestinal bleeding an approach to management |
| url | http://dx.doi.org/10.1155/2000/843704 |
| work_keys_str_mv | AT jkmarshall obscuregastrointestinalbleedinganapproachtomanagement AT oalesi obscuregastrointestinalbleedinganapproachtomanagement AT rhhunt obscuregastrointestinalbleedinganapproachtomanagement |