Diagnosis of Occult and Obscure Gastrointestinal Bleeding

Autor: Thakral, Durga, Stein, Daniel Joseph, Saltzman, John R.
Zdroj: Gastrointestinal Endoscopy Clinics of North America; 20230101, Issue: Preprints
Abstrakt: Occult and obscure bleeding are challenging conditions to manage, however recent advances in gastroenterology and endoscopy have improved our diagnostic and therapeutic capabilities. Occult gastrointestinal (GI) bleeding is non-visible bleeding detected solely by chemical tests or iron deficiency anemia. Obscure GI bleeding is an umbrella category of bleeding of unknown origin that persists or recurs after endoscopic evaluation of the entire bowel fails to reveal a bleeding source. This review details the evaluation of patients with occult and obscure GI bleeding and offers diagnostic algorithms. While treatment of GI bleeding depends on the type and location of the bleeding lesion, an overview of how to manage these conditions is presented.
Databáze: Supplemental Index