TY - JOUR
T1 - Management of obscure gastrointestinal bleeding
T2 - Comparison of guidelines between Japan and other countries
AU - Ohmiya, Naoki
N1 - Funding Information:
The author thanks Dr Akira Ohashi at Nagoya Ekisaikai Hospital for kindly providing pictures of surgical specimens and computed tomography.
PY - 2020/1/1
Y1 - 2020/1/1
N2 - Small-bowel bleeding accounts for the majority of obscure gastrointestinal bleeding, but it is caused by various types of small bowel disease, upper gastrointestinal disease, and colorectal disease. For the diagnosis, history taking and physical examination are required, leading to a determination of what diseases are involved. Next, cross-sectional imaging, such as computed tomography, should be carried out, followed by the latest enteroscopy such as small bowel capsule endoscopy and deep enteroscopy according to the severity of hemorrhage and patient condition. After a comprehensive diagnosis, medical, enteroscopic, or surgical treatment should be selected. This article reviews recent advances in the endoscopic diagnosis of obscure gastrointestinal bleeding and compares perspectives of the management of obscure gastrointestinal bleeding in Japan with that in other countries.
AB - Small-bowel bleeding accounts for the majority of obscure gastrointestinal bleeding, but it is caused by various types of small bowel disease, upper gastrointestinal disease, and colorectal disease. For the diagnosis, history taking and physical examination are required, leading to a determination of what diseases are involved. Next, cross-sectional imaging, such as computed tomography, should be carried out, followed by the latest enteroscopy such as small bowel capsule endoscopy and deep enteroscopy according to the severity of hemorrhage and patient condition. After a comprehensive diagnosis, medical, enteroscopic, or surgical treatment should be selected. This article reviews recent advances in the endoscopic diagnosis of obscure gastrointestinal bleeding and compares perspectives of the management of obscure gastrointestinal bleeding in Japan with that in other countries.
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U2 - 10.1111/den.13554
DO - 10.1111/den.13554
M3 - Review article
C2 - 31596970
AN - SCOPUS:85075416117
VL - 32
SP - 204
EP - 218
JO - Digestive Endoscopy
JF - Digestive Endoscopy
SN - 0915-5635
IS - 2
ER -