Recurrent gastrointestinal bleeding due to angiodysplasias in the small bowel. Experience with panendoscopic diagnosis and treatment in 6 patients.
Detection of bleeding from angiodysplasias located in the small bowel remains a diagnostic challenge. Intraoperative panendoscopy of the small bowel is a safe method with high diagnostic yield. The experience with this technique in 6 patients with overt bleeding or melena is described. During the panendoscopy a suture technique was used as therapeutic modality. This method is easy, cheap, does not require special skills or instruments, and the result is seen immediately.
Loffeld
R J
RJ
Department of Internal Medicine, University Hospital Maastricht, The Netherlands.
Aalders
G J
GJ
Baeten
C G
CG
D000368:Aged; D000369:Aged, 80 and over; D016888:Angiodysplasia / Q000175:diagnosis / Q000601:surgery*; D016099:Endoscopy, Gastrointestinal / Q000379:methods; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply / Q000473:pathology / Q000601:surgery*; D008297:Male; D008875:Middle Aged