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DIAGNOSTICS AND TREATMENT OF INTRALUMINAL GASTROINTESTINAL BLEEDING WITH UNKNOWN SOURCE

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Abstract

The article is dedicated to the results of complex diagnostics and treatment (including the new methods of enteroscopy) of gastrointestinal bleeding with unknown source. From 14.02.2007 to 19.04.2017 the source of bleeding was revealed in 173 (82,7%) of 209 patients, including small bowel bleeding in 154 (89,0%) patients. The most frequent sources of bleeding were vessel malformations in 39,6% of patients and small bowel tumors in 30,5% of patients. Endoscopic treatment was performed in 32 (21,7%) cases, surgical treatment - in 41 (27,9%) cases, conservative treatment - in 74 (50,4%) cases.

About the Authors

E. V. Ivanova
Pirogov Russian National Research Medical University; “Klinika K + 31 Petrovskiye Vorota”
Russian Federation


E. D. Fedorov
Pirogov Russian National Research Medical University; Hospital № 31
Russian Federation


O. I. Yudin
“Klinika K + 31 Petrovskiye Vorota”
Russian Federation


L. M. Mikhaleva
Hospital № 31
Russian Federation


E. V. Tikhomirova
M.V. Lomonosov Moscow State University; Hospital № 17
Russian Federation


References

1. Fisher L.R., Krinsky L. Anderson M.A. et al. The role of endoscopy in the management of obscure GI bleeding. // Gastrointestinal Endoscopy. 2010;72 (3): 471-479.

2. Gurudu R., Bruining D., Acosta R. et al. The role of endoscopy in the management of suspected small-bowel bleeding. ASGE Guideline.// Gastrointestinal Endoscopy. 2016: 1-10.

3. Pennazio M., Eisen G., Goldfarb N. ICCE Consensus for Obscure Gastrointestinal Bleeding. // Endoscopy. 2005; 37 (10): 1046-1050.

4. Lewis B.S. Enteroscopy. // Gastrointestinal Endoscopy Clin. Of NA. 2000: 101-113.

5. Nawaz A. et al. Chronic gastrointestinal bleeding of obscure origin: diagnosis and management. // Hospital Physician. 2001: 48-53.

6. Pasha S.F., Hara A.K., Leighton J.A. Diagnostic evaluation and management of obscure gastrointestinal bleeding: a changing paradigm.//Gastroenterology and hepatology. 2009; 5 (12): 839-850.

7. Gunjan D, Sharma V, Rana S, Bhasin D.K. Small bowel bleeding: a comprehensive review. // Gastroenterology. 2014: 262-275.

8. Liao Zhong-Li, Fan Chao-Qiang, Yu Jin et al. Small Bowel Endoscopy Diagnostic Yield and Reasons of Obscure GI Bleeding in Chinese Patients. // Gastroenterology Research and Practice. 2014: 1-5.

9. Wassef M. et al. Vascular Anomalies Classification: Recommendations from the International Society for the Study of Vascular Anomalies. // Pediatrics. 2015; 136 (1): 1-12.

10. Yoo S. GI-associated hemangiomas and vascular malformations. // Clin Colon Rectal Surg. 2011: 24: 193-200.

11. Fishman S. et al. Blue Rubber Bleb Nevus Syndrome. Surgical Eradication of Gastrointestinal Bleeding. // Annals of Surgery. 2005; 241 (3): 523-528.

12. Coumaros D. Cyanoacrylate glue in the management of blue rubber bleb nevus syndrome. // Endoscopy. 2011; 43: 291-292.

13. Rondonotti E. et al. Small bowel neoplasms in patients undergoing video capsule endoscopy: a multi center European study. // Endoscopy. 2008; 40: 488-495.

14. Zhang B.L. et al. Capsule endoscopy examination identifies different leading causes of obscure gastrointestinal bleeding in patients of different ages. // Turk J. Gastroenterol. 2012; 23 (23): 220-225.

15. Chari S.T., Keate R.F. Ileocolonic anastomotic ulcers: a case series and review of the literature.// The American journal of gastroenterology. 2000; 95 (5): 1239-1243.


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ISSN 2218-7332 (Print)
ISSN 2658-3348 (Online)