[Enteroscopy--expansion of the diagnostic spectrum. Review and personal results].
The source of blood loss remains undetermined in 5% of patients with chronic gastrointestinal bleeding. Small bowel enteroscopy using a prototype of a sonde-type enteroscope was performed in 27 patients with chronic or subacute gastrointestinal bleeding of obscure origin. The procedure time ranged between 1.5 and 6.5 hours (mean = 4 hours 15 minutes). Sonde-type enteroscopy showed vascular malformation as possible source of bleeding in 22% of our patients. We conclude that sonde-type enteroscopy is a reasonable diagnostic procedure before performing intraoperative enteroscopy. Indications for laparotomy are persisting at negative enteroscopy or enteroscopic finding making surgical therapy necessary.
Medizinische Klinik C, Klinikum der Stadt Ludwigshafen.
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D
Schlauch
J F
JF
Riemann
D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016888:Angiodysplasia / Q000150:complications / Q000601:surgery; D020776:Endoscopes, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006452:Hemoglobinometry; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply; D008297:Male; D008875:Middle Aged