title: New endoscopic techniques for obscure gastrointestinal bleeding.
abstract: 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.
authors.affiliation: Department of Gastroenterology, St Antonius Hospital Nieuwegein, The Netherlands.
authors.forename: Henk
authors.initials: H
authors.lastname: den Ouden
authors.forename: S A C
authors.initials: SA
authors.lastname: van Tuyl
authors.forename: Marcel
authors.initials: M
authors.lastname: Groenen
authors.forename: Mark F J
authors.initials: MF
authors.lastname: Stolk
authors.forename: Ernst J
authors.initials: EJ
authors.lastname: Kuipers
mesh_terms: 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
chemical_list: D005765:Gastrointestinal Agents; D006454:Hemoglobins; D015282:Octreotide