The Role of Provocative Testing and Localization of the Video Capsule Endoscope in the Management of Small Intestinal Bleeding
| Autor: | Douglas G. Adler, Daniel L Raines |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Enteroscopy
medicine.medical_specialty Endoscope business.industry General surgery Gastroenterology Inpatient setting Capsule Endoscopy Small intestinal bleeding Video capsule endoscopy 03 medical and health sciences 0302 clinical medicine 030220 oncology & carcinogenesis Capsule Endoscopes Antithrombotic medicine Humans 030211 gastroenterology & hepatology Gastrointestinal Hemorrhage business Provocative testing Video capsule |
| Zdroj: | Gastrointestinal Endoscopy Clinics of North America. 31:317-330 |
| ISSN: | 1052-5157 |
| DOI: | 10.1016/j.giec.2021.01.001 |
| Popis: | The cause of small intestinal bleeding (SIB) may be elusive despite exhaustive testing. This article describes the current understanding of SIB regarding evaluation, with emphasis on the use of video capsule endoscopy (VCE) as a diagnostic procedure. This article addresses the utility of provocative testing in challenging cases and the performance of endoscopic procedures on active antithrombotic therapy. Specific recommendations accompany this article, including use of antithrombotic agents to stimulate bleeding when clearly indicated; performance of endoscopic procedures on active antithrombotic therapy; and progressive adoption of VCE and device-assisted enteroscopy in the inpatient setting. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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