| Theme | Obscure gastrointestinal bleeding (OGIB) | |
|---|---|---|
| Title | Study of vascular lesions possibly associated with obscure gastrointestinal bleeding | |
| Publish Date | 2019/08 | |
| Author | Tomoki Matsuda | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Masato Nakahori | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Dai Hirasawa | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Toru Okuzono | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Kenjiro Suzuki | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Yoko Abe | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Kimihiro Igarashi | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Yoshitaka Nawata | Digestive Endoscopy Center, Sendai Kousei Hospital |
| Author | Akimichi Chonan | Internal Medicine (Gastroenterology), Senseki Hospital |
| [ Summary ] | Diagnosing vascular lesions associated with obscure gastrointestinal bleeding (OGIB) is difficult even with evaluation performed using capsule/balloon endoscopy. This difficulty may be attributed to the fact that microscopic lesions are challenging to identify, and the source of bleeding cannot be easily detected in the absence of active bleeding. Therefore, in such instances, bleeding may be misdiagnosed as originating from outside the small intestine (extraintestinal lesions). Among the 435 patients with OGIB who underwent balloon-assisted endoscopic examinations since April 2004 at our hospital, 91 patients (20.9 %) (51 men, 40 women, mean age 70.5±5 years) were diagnosed with vascular lesions including bleeding sources outside the small intestine (extraintestinal lesions). Relatively older patients with cardiovascular complications are at a risk of developing vascular lesions attributed to OGIB. Emergency endoscopy performed during an episode of active bleeding is useful for definitive diagnosis. |
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