New endoscopic techniques for obscure gastrointestinal bleeding.
The case of a postmenopausal woman with a congenital aortic stenosis is presented. She presented with severe iron deficiency anemia. After negative extensive gastrointestinal analysis, she was treated with octreotide for six months. After cessation of octreotide, anemia rapidly recurred. A second capsule endoscopy and a double balloon enteroscopy were performed, and an intestinal vascular malformation was found. After surgical segment resection, the patient had stable, normal levels of hemoglobin and no complaints after 14 months of follow-up.
den Ouden
Henk
H
Department of Gastroenterology, St Antonius Hospital Nieuwegein, The Netherlands.
van Tuyl
S A C
SA
Groenen
Marcel
M
Stolk
Mark F J
MF
Kuipers
Ernst J
EJ
D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000209:etiology; D001024:Aortic Valve Stenosis; D001165:Arteriovenous Malformations / Q000175:diagnosis* / Q000601:surgery; D053704:Capsule Endoscopy / Q000379:methods*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D005260:Female; D005765:Gastrointestinal Agents / Q000627:therapeutic use; D006471:Gastrointestinal Hemorrhage / Q000150:complications / Q000175:diagnosis*; D006454:Hemoglobins / Q000378:metabolism; D006801:Humans; D007421:Intestine, Small / Q000473:pathology; D008875:Middle Aged; D015282:Octreotide / Q000627:therapeutic use; D017698:Postmenopause; D011237:Predictive Value of Tests
D005765:Gastrointestinal Agents; D006454:Hemoglobins; D015282:Octreotide