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Obscure gastrointestinal bleeding: diagnosis and treatment
Naoki Ohmiya1, Yoshihito Nakagawa, Mituso Nagasaka
1Department of Gastroenterology, Fujita Health University School of Medicine, Toyoake.
Abstract:
Small-bowel bleeding comprises a majority of obscure gastrointestinal bleeding, but is caused by various kinds of diseases. For its diagnosis, history-taking and physical examination is requisite, leading to a suspicion of what diseases are involved. Next, cross-sectional imaging such as computed tomography should be done, followed by the latest enteroscopy, videocapsule endoscopy and deep enteroscopy according to the severity of hemorrhage and patient conditions. After comprehensive diagnosis, medical, enteroscopic, or surgical treatment should be selected.
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