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Related Experiment Videos

Small Bowel Bleeding: Updated Algorithm and Outcomes.

Lauren B Gerson1

  • 1Division of Gastroenterology, Department of Medicine, California Pacific Medical Center, University of California, San Francisco, 2340 Clay Street, 6th Floor, San Francisco, CA 94115, USA.

Gastrointestinal Endoscopy Clinics of North America
|December 3, 2016
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

707
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
707

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The classification of obscure gastrointestinal hemorrhage has been updated to suspected small bowel bleeding. This article outlines management algorithms for this condition using various diagnostic tools.

Area of Science:

  • Gastroenterology
  • Diagnostic Imaging
  • Endoscopy

Background:

  • The term "obscure gastrointestinal hemorrhage" is outdated.
  • Current guidelines recommend classifying these cases as "suspected small bowel bleeding".

Purpose of the Study:

  • To provide updated management algorithms for suspected small bowel bleeding.
  • To guide clinicians in utilizing advanced diagnostic techniques.

Main Methods:

  • Review of the 2015 American College of Gastroenterology guidelines.
  • Development of clinical algorithms for suspected small bowel bleeding.
  • Integration of diagnostic modalities such as video capsule endoscopy, CT enterography, MR enterography, angiography, and deep enteroscopy.

Main Results:

Keywords:
AngiographyDeep enteroscopyObscure GI bleedingSuspected small bowel hemorrhageVideo capsule endoscopy

Related Experiment Videos

  • A shift in terminology from obscure gastrointestinal hemorrhage to suspected small bowel bleeding.
  • Defined pathways for patient management incorporating multiple diagnostic tools.

Conclusions:

  • The updated classification necessitates revised management strategies.
  • A systematic approach utilizing advanced endoscopic and imaging techniques is crucial for diagnosing small bowel bleeding.