[Stepwise diagnosis of intestinal hemorrhage].
Endoscopy is the method of choice in diagnosing gastrointestinal bleeding. In case of acute and severe bleeding a bleeding-source in the upper gastrointestinal tract has to be excluded with priority. The efficiency of endoscopy would be enhanced by endoscopic Doppler ultrasound. A diagnostic gap in the region of small bowel possibly will be closed by recently developed push-enteroscopy. Angiography and scintigraphy with labeled autologous erythrocytes are reserved to bleeding of still unknown source. Enteroclysis and double contrast barium enema are necessary only in very rare cases.
Hoffmann
R
R
Medizinische Klinik, Fachbereich Gastroenterologie, Städtische Kliniken Esslingen.
D000465:Algorithms; D003937:Diagnosis, Differential; D016099:Endoscopy, Gastrointestinal; D019160:Endosonography; D005767:Gastrointestinal Diseases / Q000150:complications / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D013683:Telangiectasia, Hereditary Hemorrhagic / Q000150:complications / Q000175:diagnosis