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small bowel gastrointestinal hemorrhage
Etiology:
- angiodysplasia (> 60 years)
- Peutz-Jeghers syndrome (< 20 years)
- Meckel's diverticulum (20-60 years)
- hemangioma (< 20 years)
- small intestinal cancer (> 50 years)
- hereditary hemorrhagic telangiectasia (> 50 years)
Clinical manifestations:
- intermittent, generally occult bleeding -> angiodysplasia
- perioral hyperpigmentation, bowel obstruction -> Peutz-Jeghers syndrome
- possible abdominal pain -> Meckel's diverticulum
- possible cutaneous hemangiomas -> hemangioma
- weight loss, abdominal pain -> small intestinal cancer
- mucocutaneous telangiectasias -> hereditary hemorrhagic telangiectasia
Laboratory:
- see gastrointestinal hemorrhage
Special laboratory:
- see gastrointestinal hemorrhage
Radiology:
- see gastrointestinal hemorrhage
Management:
- hemodynamic stabilization
- further management guided by underlying pathology [1]
General
gastrointestinal hemorrhage
References
- Medical Knowledge Self Assessment Program (MKSAP) 18,
American College of Physicians, Philadelphia 2018
- Brito HP, Ribeiro IB, Moura DTH de et al.
Video capsule endoscopy vs double-balloon enteroscopy in the diagnosis
of small bowel bleeding: a systematic review and meta-analysis .
World J Gastrointest Endosc. 2018;10(12):400-421
PMID: 30631404 PMCID: PMC6323498 Free PMC article
https://www.wjgnet.com/1948-5190/full/v10/i12/400.htm