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Published on: October 16, 2013
The Role of Provocative Testing and Localization of the Video Capsule Endoscope in the Management of Small Intestinal
Daniel L Raines1, Douglas G Adler2
11542 Tulane Avenue, Suite 423, New Orleans, LA, USA.
Abstract:
The cause of small intestinal bleeding (SIB) may be elusive despite exhaustive testing. This article describes the current understanding of SIB regarding evaluation, with emphasis on the use of video capsule endoscopy (VCE) as a diagnostic procedure. This article addresses the utility of provocative testing in challenging cases and the performance of endoscopic procedures on active antithrombotic therapy. Specific recommendations accompany this article, including use of antithrombotic agents to stimulate bleeding when clearly indicated; performance of endoscopic procedures on active antithrombotic therapy; and progressive adoption of VCE and device-assisted enteroscopy in the inpatient setting.
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