The role of endoscopy in the management of suspected small-bowel bleeding

Gurudu, Suryakanth R.; Bruining, David H.; Acosta, Ruben D.; Eloubeidi, Mohamad A.; Faulx, Ashley L.; Khashab, Mouen A.; Kothari, Shivangi; Lightdale, Jenifer R.; Muthusamy, V. Raman; Yang, Julie; DeWitt, John M.

doi:10.1016/j.gie.2016.06.013

Cited by 128 publications

(92 citation statements)

References 121 publications

(114 reference statements)

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“…This finding is in accordance with a review by Eroglu et al [27]. The small intestine should be evaluated using enteroscopy and capsule endoscopy [34, 35]; however, both of these procedures are expensive and still not readily available. Therefore, we speculate that gut vascular abnormalities, particularly those that are not bleeding or are bleeding discreetly, can be overlooked.…”

Section: Discussionsupporting

confidence: 89%

Gastrointestinal Vascular Malformations in Patients with Turner’s Syndrome: A Systematic Review of Case Reports

Kucharská¹,

Józefczuk²,

Ksiązyk³

et al. 2018

Horm Res Paediatr

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Background/Aim: There is a paucity of data on gastrointestinal (GI) vascular abnormalities in patients with Turner’s syndrome (TS). Therefore, this literature review aimed to characterize the nature of GI vascular malformations in patients with TS, their localization in the GI tract, and their clinical and laboratory manifestations. Methods: A systematic search for articles was conducted using Medline and Embase (until August 2017). A manual search of the references of the included papers was performed to identify any potential additional references. We also conducted a retrospective chart review of all patients with TS and GI bleeding who were hospitalized at our institution. Results: A total of 29 articles published between 1947 and 2015 that described 39 cases were reviewed. Additionally, we included 2 patients who were hospitalized at our institution. The median age of patients with TS was 15 years (range: 0.1–57 years). Iron deficiency anaemia (35/40), haematochezia (15/37), and melaena (14/36) were the most common symptoms. Abnormal GI vessels occurred throughout the entire bowel, with a predilection for the small intestine (72%, 29/40). The most common abnormal vessels (65%, 24/37) were telangiectasias and dilated veins. Conclusion: Telangiectasias and dilated veins of the small intestine were the most commonly seen abnormal GI vessels in patients with TS.

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Section: Discussionsupporting

confidence: 89%

Gastrointestinal Vascular Malformations in Patients with Turner’s Syndrome: A Systematic Review of Case Reports

Kucharská¹,

Józefczuk²,

Ksiązyk³

et al. 2018

Horm Res Paediatr

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“…A potential targetable population is patients with small bowel bleeding (3.7% of all patients with gastrointestinal bleeding), who had the highest 30-day readmission rate (18.6%), but the second lowest 30-day mortality (3.%). Prior studies have shown that patients with suspected small bowel bleeding warrant an upper and lower endoscopy prior to a video capsule endoscopy, and this need for increased number of procedures may result in longer hospitalizations (18). In our data, however, patients with small bowel bleeding did not have a statistically significant longer length of stay than those with PUD.…”

Section: Discussionmentioning

confidence: 99%

Rates of Hospital Readmission Among Medicare Beneficiaries With Gastrointestinal Bleeding Vary Based on Etiology and Comorbidities

Siddique

Mehta

Neuman

et al. 2019

Clinical Gastroenterology and Hepatology

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In a retrospective analysis of Medicare fee for service beneficiaries hospitalized for gastrointestinal bleeding, we found that 16% of these patients are readmitted to the hospital. Rates of hospital readmission, length of stay, and mortality vary with type of gastrointestinal bleeding, but MS-DRGs account for the largest source of variation. Policies focused on quality and value should account for this heterogeneity.

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“…combination of obstructive symptoms, history of SB resection, abdominal/pelvic radiation therapy and known or suspected stricturing disorders including neoplasms, Crohn's disease, chronic use of non‐steroidal anti‐inflammatory drugs for various reasons) (Fig. ) …”

Section: Enteroscopy: a Powerful Weapon To Solve Big Problems In The mentioning

confidence: 99%

Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

Tontini

Manfredi

Orlando

et al. 2019

Digestive Endoscopy

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Over the last decade, impressive technological advances have occurred in ultrasonography and small‐bowel endoscopy. Nowadays, endoscopic ultrasonography is an essential diagnostic tool and a therapeutic weapon for pancreatobiliary disorders. Capsule endoscopy and device‐assisted enteroscopy have quickly become the reference standard for the diagnosis of small‐bowel luminal diseases, thereby leading to radical changes in diagnostic and therapeutic pathways. We herein provide an up‐to‐date overview of the latest advances in endoscopic ultrasonography and small‐bowel endoscopy, focusing on the emerging paradigms and technological innovations that might improve clinical practice in the near future.

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The role of endoscopy in the management of suspected small-bowel bleeding

Abstract: This is one of a series of statements discussing the use of GI endoscopy in common clinical situations. The Standards of Practice Committee of the American Society for Gastrointestinal Endoscopy (ASGE) prepared this text

Cited by 128 publications

References 121 publications

Gastrointestinal Vascular Malformations in Patients with Turner’s Syndrome: A Systematic Review of Case Reports

Gastrointestinal Vascular Malformations in Patients with Turner’s Syndrome: A Systematic Review of Case Reports

Rates of Hospital Readmission Among Medicare Beneficiaries With Gastrointestinal Bleeding Vary Based on Etiology and Comorbidities

Endoscopic ultrasonography and small‐bowel endoscopy: Present and future

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