Theme |
Bloody stools in non -- IBD intestinal disorders |
Title |
Obscure gastrointestinal bleeding : A perspective of small intestinal vascular lesion |
Author |
Satoshi Shinozaki |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Hironori Yamamoto |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Tomonori Yano |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Keijiro Sunada |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Yoshikazu Hayashi |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Tomohiko Miyata |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Naoyuki Nishimura |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
Author |
Kentaro Sugano |
Department of Medicine, Division of Gastroenterology, Jichi Medical University |
[ Summary ] |
The investigation and the treatment of obscure gastrointestinal bleeding (OGIB) are about to be revolutionized by the development of double-balloon endoscopy and capsule endoscopy. The bleeding source of OGIB in the small intestine is divided into three groups as follows ; ulcers/erosions, vascular lesions and tumors/polyps. Generally, it is difficult to control OGIB associated with small intestinal vascular lesions, compared to the control possible with other small intestinal lesions. Recently, we classified small intestinal vascular lesions based on endoscopic findings. This new classification contributes to the ability to analyze the long-term outcomes for patients and to select the proper endoscopic treatment. |