Diagnosis and treatment of insidious recurrent small intestinal hemorrhage.
OBJECTIVE
To improve the localized diagnosis of insidious recurrent small intestinal hemorrhage.


METHODS
This retrospective analysis include 64 cases of such diseases, which were admitted from 1988 to 1998 to our hospital.


RESULTS
Ultrasonography, CT, small bowel pneumobariumgraphy, diluted barium enema, isotopic examination, DSA and intraoperative small-bowel endoscopy were used for diagnosis of hemorrhagic site, and 37 cases got a definite location before operation, while 10 cases were confined the diagnosis during the operation. Forty-seven cases were treated surgically, while the other 17 cases had non-surgical treatment. Of the 47 cases, 39 cases underwent partial enterectomy, 5 cases had suture and ligature of vascular deformity, 2 cases had Whipple's operation, and one patient had ectomy of the end of ileum and right colon.


CONCLUSIONS
DSA, Isotopic examination and intraoperative enteroscopy are of considerable importance for the location judgement of recurrent small intestinal hemorrhage.
He
X
X
General Surgery of Peking Union Medical College Hospital, CAMS & PUMC, Beijing 100730.
Tao
W
W
Zheng
C
C
Zhang
Z
Z
D000293:Adolescent; D000328:Adult; D000368:Aged; D005260:Female; D005500:Follow-Up Studies; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000601:surgery*; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis* / Q000601:surgery*; D007421:Intestine, Small; D008297:Male; D008875:Middle Aged; D012008:Recurrence; D012189:Retrospective Studies