title: Evaluation of small bowel bleeding.
abstract: OBJECTIVE
  The review focuses on the latest techniques that are evolving in the management of small bowel bleeding.
  
  
  RESULTS
  Video capsule endoscopy has the highest yield of diagnosis when it is performed within 48 h of the bleeding event (78 versus 48%). The pooled detection rate of double balloon endoscopy was noted to be 68.1% for obscure gastrointestinal bleeding according to a systematic review of 66 studies in the last 10 years. Also a recent review, which focused on analysis of 68 studies found that the procedural characteristics were comparable for double balloon, single balloon and spiral enteroscopy though the procedure time was fastest for the spiral enteroscopy group. Medical therapy for vascular lesions is in its infancy but shows promise.
  
  
  CONCLUSIONS
  Advanced diagnostic and therapeutic endoscopic techniques are changing the paradigm of care for patients with small bowel bleeding.
authors.affiliation: UMassMemorial Medical Center, Worcester, Massachusetts 01655, USA.
authors.forename: Anupam
authors.initials: A
authors.lastname: Singh
authors.forename: Veronica
authors.initials: V
authors.lastname: Baptista
authors.forename: Calin
authors.initials: C
authors.lastname: Stoicov
authors.forename: David R
authors.initials: DR
authors.lastname: Cave
mesh_terms: D053704:Capsule Endoscopy / Q000379:methods; D058582:Double-Balloon Enteroscopy / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000379:methods* / Q000639:trends; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000601:surgery; D006801:Humans; D007410:Intestinal Diseases / Q000175:diagnosis* / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology*