Utility of preoperative small-bowel endoscopy for hemorrhagic lesions in the small intestine

Takeshita, Nobuyoshi; Otsuka, Yuichi; Nara, Satoshi; Noie, Tamaki; Ito, Kei; Harihara, Yasushi; Furushima, Kaoru; Konishi, Toshiro

doi:10.1007/s00595-011-0109-1

Cited by 6 publications

(6 citation statements)

References 12 publications

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“…Preoperative localization of the small bowel lesion allowed minimally invasive treatment. AVM of the small bowel is rare, and whether endoscopic appearances are distinctive enough to raise the possibility of a polypoid AVM remains unclear [1, 4]. In our case, the mass resembled a submucosal tumor and the tumor had redness and pulsation, suggesting a vascular lesion (fig.…”

Section: Discussionmentioning

confidence: 74%

“…When successful diagnosis reveals a lesion that can be localized preoperatively, the laparoscopic approach is an appropriate and beneficial treatment modality for small bowel resection [4]. We here report a case of AVM detected preoperatively by small bowel endoscopy.…”

Section: Discussionmentioning

confidence: 98%

“…Gastrointestinal bleeding that originates in the small intestine is often difficult to diagnose [1, 2, 3, 4, 5]. When successful diagnosis reveals a lesion that can be localized preoperatively, the laparoscopic approach is an appropriate and beneficial treatment modality for small bowel resection [4].…”

Section: Discussionmentioning

confidence: 99%

“…It can be exceedingly difficult to localize and diagnose gastrointestinal tract bleeding, particularly in cases of occult small bowel AVMs [1, 2, 3, 4, 5]. Angiography and enhanced computed tomography (CT) are very useful and convenient for the detection of gastrointestinal AVMs [1, 2, 3, 4, 5]. Moreover, double-balloon endoscopy or capsule endoscopy would be also useful in the diagnosis of AVMs in the small bowel.…”

Section: Introductionmentioning

confidence: 99%

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Arteriovenous Malformation Detected by Small Bowel Endoscopy

Fujii

Morita

Sutoh

et al. 2014

Case Rep Gastroenterol

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Gastrointestinal bleeding that originates in the small intestine is often difficult to diagnose. When successful diagnosis reveals a lesion that can be localized preoperatively, the laparoscopic approach is an appropriate and beneficial treatment modality for small bowel resection. A 69-year-old man presented with a 6-month history of gastrointestinal bleeding and symptomatic transfusion-dependent anemia. Upper and lower endoscopy were normal. Double-balloon endoscopy established the source of the bleeding as a 0.5-cm polypoid mass appearing as a submucosal tumor with redness and pulsation in the lower ileum, suggesting a vascular lesion. Laparoscopic small bowel resection was successful in removing the mass in the ileum. Histological evaluation of the mass revealed an arteriovenous malformation. Preoperative small bowel endoscopy can be useful for diagnosing the cause and localization of arteriovenous malformation in the small intestine.

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Section: Discussionmentioning

confidence: 74%

Section: Discussionmentioning

confidence: 98%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Arteriovenous Malformation Detected by Small Bowel Endoscopy

Fujii

Morita

Sutoh

et al. 2014

Case Rep Gastroenterol

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“…Previous studies showed CT scan and scintigraphy to be sensitive for small bowel tumors [ 11 , 12 ]. Takeshita et al showed video capsule endoscopy and double-balloon enteroscopy to be beneficial for small bowel lesions [ 13 ]. Immunohistochemistry is crucial in the diagnosis of mesenchymal tumor and differentiation of malignant and suspicious high risk tumors [ 14 ].…”

Section: Discussionmentioning

confidence: 99%

Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma

Gachabayov

Mityushin

2016

Case Reports in Surgery

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Angioleiomyoma being a type of true smooth muscle gastrointestinal tumors can lead to serious life-threatening gastrointestinal bleeding. We report a case of 21-year-old male patient with recurrent midgut bleeding. Contrast-enhanced CT revealed highly vascular small bowel neoplasm. The patient underwent laparotomy with bowel resection and recovered uneventfully. Histopathology revealed jejunal angioleiomyoma.

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Arteriovenous malformation of the small intestine presenting with a transfusion-dependent anaemia in pregnancy

Dunphy

Ford

2023

BMJ Case Rep

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Gastrointestinal bleeding that originates in the small intestine is often difficult to diagnose. Bleeding from a small intestinal arteriovenous malformation (AVM) is rare, with congenital AVMs more commonly located in the rectum or sigmoid. There is a relative paucity of cases reported in the literature. In the gastrointestinal tract, it can cause acute and chronic bleeding, which can be fatal. Although the incidence of small bowel AVMs is quite low, such lesions can be identified as the bleeding source in patients with obscure gastrointestinal bleeding (OGIB) harbouring severe, transfusion-dependent anaemia. It can be exceedingly difficult to localise and diagnose gastrointestinal tract bleeding, particularly in cases of occult small bowel AVMs. CT angiography and capsule endoscopy can help to establish the diagnosis. Laparoscopy is an appropriate and beneficial treatment modality for small bowel resection. The authors present the case of a primigravida woman in her late 20s diagnosed with a symptomatic transfusion-dependent anaemia during her pregnancy. She developed OGIB and despite no history of chronic liver disease became encephalopathic. Due to her physical deterioration and uncertain diagnosis, her caesarean section was performed at 36+6 weeks to expedite investigations and treatment. She was diagnosed with a jejunal AVM and underwent coiled embolisation of her superior mesenteric artery. She became haemodynamically unstable and underwent a laparotomy and small bowel resection. A full non-invasive liver screen was negative, however, her MRI liver described multiple focal nodular hyperplasia (FNH) lesions raising the possibility of FNH syndrome in the context of a previous AVM malformation. A prompt stepwise, multimodality diagnostic approach is required to prevent patient morbidity and mortality.

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Utility of preoperative small-bowel endoscopy for hemorrhagic lesions in the small intestine

Abstract: Preoperative small-bowel endoscopy proved useful for diagnosing the cause of hemorrhagic lesions in the small intestine.

Cited by 6 publications

References 12 publications

Arteriovenous Malformation Detected by Small Bowel Endoscopy

Arteriovenous Malformation Detected by Small Bowel Endoscopy

Recurrent Midgut Bleeding due to Jejunal Angioleiomyoma

Arteriovenous malformation of the small intestine presenting with a transfusion-dependent anaemia in pregnancy

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