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Updated: Aug 3, 2026
09:42
Murine Endoscopy for In Vivo Multimodal Imaging of Carcinogenesis and Assessment of Intestinal Wound Healing and Inflammation
Published on: August 26, 2014
Small-bowel investigation in occult gastrointestinal bleeding
1Gastroenterology Department, Glasgow Royal Infirmary, Scotland, UK.
Seminars in Gastrointestinal Disease
|June 11, 1999
Summary
Obscure gastrointestinal bleeding often originates in the small intestine, posing diagnostic challenges. Push enteroscopy offers therapeutic advantages for patients with overt bleeding, improving management outcomes.
Area of Science:
- Gastroenterology
- Endoscopy
- Diagnostic Imaging
Background:
- Obscure gastrointestinal bleeding (GIB) is a significant clinical issue.
- Small-bowel origin is common after negative upper and lower endoscopy.
- Overt bleeding cases require extensive investigation and impact quality of life.
Observation:
- Standard diagnostic methods like enteroclysis, tagged red cell studies, and angiography have limited value.
- Push enteroscopy provides therapeutic capabilities for small-bowel bleeding.
- Sonde enteroscopy is reserved for surgical decision-making in complex cases.
Findings:
- Push enteroscopy is advantageous for diagnosing and treating obscure GIB.
- Perioperative enteroscopy may be needed for definitive diagnosis.
- Many cases can be managed non-surgically.
Implications:
- A multidisciplinary team approach is crucial for effective management.
- Optimized diagnostic algorithms can improve patient outcomes.
- Minimizing invasive procedures and hospitalizations enhances patient quality of life.
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