title: Small intestinal vascular malformation bleeding: diagnosis by double-balloon enteroscopy combined with abdominal contrast-enhanced CT examination.
abstract: OBJECTIVE
  The purpose of this study was to explore the value of double-balloon enteroscopy combined with abdominal vascular-enhanced CT examination for the diagnosis of intestinal vascular malformation bleeding, to explore a simple and effective method for the diagnosis of small intestinal vascular malformation bleeding.
  
  
  METHODS
  Ten patients with intestinal bleeding were first examined with double-balloon enteroscopy. If active bleeding considered as vascular malformation was observed, the patient underwent abdominal vascular-enhanced CT examination. If no active bleeding was observed with double-balloon enteroscopy, the patient also underwent abdominal vascular-enhanced CT examination. When intestinal vascular malformation bleeding was diagnosed with double-balloon enteroscopy and/or abdominal vascular-enhanced CT examination, the patient underwent surgical operation and vascular malformation was confirmed with pathologic diagnosis.
  
  
  RESULTS
  In ten patients who underwent double-balloon enteroscopy examination, active intestinal bleeding was observed in seven patients and no active bleeding was observed in three patients. All ten patients underwent abdominal vascular-enhanced CT examination and vascular malformation was detected in all the patients with confirmation by pathologic diagnosis.
  
  
  CONCLUSIONS
  Double-balloon enteroscopy combined with abdominal vascular enhanced CT examination is a simple and effective method for the diagnosis of intestinal vascular malformation bleeding.
authors.affiliation: Department of Gastroenterology, Yan Tai Yu Huang Ding Hospital, Yantai, Shandong, China. cuijun89@163.com
authors.forename: Jun
authors.initials: J
authors.lastname: Cui
authors.forename: Liu Ye
authors.initials: LY
authors.lastname: Huang
authors.forename: Cheng Rong
authors.initials: CR
authors.lastname: Wu
mesh_terms: D000328:Adult; D000368:Aged; D003287:Contrast Media; D058582:Double-Balloon Enteroscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology; D006801:Humans; D007421:Intestine, Small / Q000098:blood supply*; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D054079:Vascular Malformations / Q000150:complications / Q000175:diagnosis* / Q000000981:diagnostic imaging
chemical_list: D003287:Contrast Media