Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases
Small bowel diverticulum is a rare cause of gastrointestinal bleeding. The diagnosis and treatment of small bowel diverticular hemorrhage is clinically challenging before the development of deep enteroscopy. In this multicenter study from the Taiwan Association for the Study of Small Intestinal Dise...
Saved in:
| Main Authors: | , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2015-01-01
|
| Series: | Gastroenterology Research and Practice |
| Online Access: | http://dx.doi.org/10.1155/2015/564536 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832559074908045312 |
|---|---|
| author | Yang-Yuan Chen Cheng-Tang Chiu Chen-Ming Hsu Tsung-Hsing Chen Yi-Chun Chiu Yen-Chang Chu Chen-Wang Chang Hsiu-Po Wang Deng-Chyang Wu Tien-Yu Huang Hsu-Heng Yen |
| author_facet | Yang-Yuan Chen Cheng-Tang Chiu Chen-Ming Hsu Tsung-Hsing Chen Yi-Chun Chiu Yen-Chang Chu Chen-Wang Chang Hsiu-Po Wang Deng-Chyang Wu Tien-Yu Huang Hsu-Heng Yen |
| author_sort | Yang-Yuan Chen |
| collection | DOAJ |
| description | Small bowel diverticulum is a rare cause of gastrointestinal bleeding. The diagnosis and treatment of small bowel diverticular hemorrhage is clinically challenging before the development of deep enteroscopy. In this multicenter study from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID), 608 patients underwent deep enteroscopy for obscure gastrointestinal bleeding during January 2004 and April 2010 from eight medical centers in Taiwan. Small bowel diverticular hemorrhage account for 7.89% of obscure gastrointestinal bleeding in this study. Most of the patients received endoscopic therapy with an initial hemostasis rate of 85.71% and rebleeding rate of 20%. In this large case series investigating the enteroscopic management of small intestinal diverticular hemorrhage, we found that, as to patients with peptic ulcer hemorrhage, most of these patients can be successfully managed by endoscopic therapy before surgery in the era of deep enteroscopy. |
| format | Article |
| id | doaj-art-6021fb603fb046e0a713199086ab8595 |
| institution | Kabale University |
| issn | 1687-6121 1687-630X |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Gastroenterology Research and Practice |
| spelling | doaj-art-6021fb603fb046e0a713199086ab85952025-02-03T01:30:56ZengWileyGastroenterology Research and Practice1687-61211687-630X2015-01-01201510.1155/2015/564536564536Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal DiseasesYang-Yuan Chen0Cheng-Tang Chiu1Chen-Ming Hsu2Tsung-Hsing Chen3Yi-Chun Chiu4Yen-Chang Chu5Chen-Wang Chang6Hsiu-Po Wang7Deng-Chyang Wu8Tien-Yu Huang9Hsu-Heng Yen10Division of Gastroenterology, Department of Internal Medicine, China Medical University Hospital, Taichung 40447, TaiwanDepartment of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33344, TaiwanDepartment of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33344, TaiwanDepartment of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Chang Gung University College of Medicine, Taoyuan 33344, TaiwanDivision of Hepato-Gastroenterology, Department of Internal Medicine, Kaohsiung Chang Gung Memorial Hospital and Chang Gung University College of Medicine, Kaohsiung 83301, TaiwanDepartment of Gastroenterology, Buddhist Taichung Tzu Chi Hospital, Taichung 42700, TaiwanDivision of Gastroenterology, Department of Internal Medicine, Mackay Memorial Hospital, Taipei 10449, TaiwanDepartment of Internal Medicine, National Taiwan University Hospital, Taipei 10002, TaiwanDepartment of Internal Medicine, Kaohsiung Medical University Hospital, Kaohsiung 80700, TaiwanDivision of Gastroenterology, Tri-Service General Hospital, Taipei 11400, TaiwanEndoscopy Center, Department of Gastroenterology, Changhua Christian Hospital, Changhua 50000, TaiwanSmall bowel diverticulum is a rare cause of gastrointestinal bleeding. The diagnosis and treatment of small bowel diverticular hemorrhage is clinically challenging before the development of deep enteroscopy. In this multicenter study from the Taiwan Association for the Study of Small Intestinal Diseases (TASSID), 608 patients underwent deep enteroscopy for obscure gastrointestinal bleeding during January 2004 and April 2010 from eight medical centers in Taiwan. Small bowel diverticular hemorrhage account for 7.89% of obscure gastrointestinal bleeding in this study. Most of the patients received endoscopic therapy with an initial hemostasis rate of 85.71% and rebleeding rate of 20%. In this large case series investigating the enteroscopic management of small intestinal diverticular hemorrhage, we found that, as to patients with peptic ulcer hemorrhage, most of these patients can be successfully managed by endoscopic therapy before surgery in the era of deep enteroscopy.http://dx.doi.org/10.1155/2015/564536 |
| spellingShingle | Yang-Yuan Chen Cheng-Tang Chiu Chen-Ming Hsu Tsung-Hsing Chen Yi-Chun Chiu Yen-Chang Chu Chen-Wang Chang Hsiu-Po Wang Deng-Chyang Wu Tien-Yu Huang Hsu-Heng Yen Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases Gastroenterology Research and Practice |
| title | Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases |
| title_full | Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases |
| title_fullStr | Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases |
| title_full_unstemmed | Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases |
| title_short | Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases |
| title_sort | enteroscopic diagnosis and management of small bowel diverticular hemorrhage a multicenter report from the taiwan association for the study of small intestinal diseases |
| url | http://dx.doi.org/10.1155/2015/564536 |
| work_keys_str_mv | AT yangyuanchen enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT chengtangchiu enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT chenminghsu enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT tsunghsingchen enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT yichunchiu enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT yenchangchu enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT chenwangchang enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT hsiupowang enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT dengchyangwu enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT tienyuhuang enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases AT hsuhengyen enteroscopicdiagnosisandmanagementofsmallboweldiverticularhemorrhageamulticenterreportfromthetaiwanassociationforthestudyofsmallintestinaldiseases |