Obscure gastrointestinal bleeding

Gastroenterology Clinics of North America

Volumn 34, Issue 4, 2005, Pages 679-698

  Lin, Sauyu ^a   Rockey, Don C ^b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b UNIVERSITY OF TEXAS AT DALLAS   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ENEMA; ESTROGEN; OCTREOTIDE; PROGESTERONE; TECHNETIUM;

ACUTE HEMORRHAGIC PANCREATITIS; ADENOCARCINOMA; AGE DISTRIBUTION; ANGIOGRAPHY; AORTA ANEURYSM; AORTOINTESTINAL FISTULA; ARGON PLASMA COAGULATION; CARCINOID; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; DIAGNOSTIC ERROR; DIEULAFOY DISEASE; DIFFERENTIAL DIAGNOSIS; DIGESTIVE SYSTEM INJURY; EROSION; GASTROINTESTINAL ENDOSCOPY; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL SURGERY; HEMOBILIA; HOSPITALIZATION; HUMAN; INTESTINE FUNCTION; ISOTOPE LABELING; LAPAROSCOPIC SURGERY; LIVER BIOPSY; LIVER CELL CARCINOMA; LYMPHOMA; MECKEL DIVERTICULUM; MEDICAL EXAMINATION; NUCLEAR MAGNETIC RESONANCE IMAGING; PANCREAS TRANSPLANTATION; POLYP; RADIODIAGNOSIS; RECURRENT DISEASE; REVIEW; SMALL INTESTINE; SURGICAL TECHNIQUE;

ALGORITHMS; ANGIOGRAPHY; CAPSULES; CLINICAL TRIALS; DIAGNOSIS, DIFFERENTIAL; ENDOSCOPY, GASTROINTESTINAL; GASTROINTESTINAL HEMORRHAGE; HUMANS; INTESTINAL DISEASES; TOMOGRAPHY, X-RAY COMPUTED;

EID: 27844556902     PISSN: 08898553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.gtc.2005.08.005     Document Type: Review

References (141)

1. AGA American gastroenterological association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding Gastroenterology 118 2000 197
2. R.C. Spiller, and R.A. Parkins Recurrent gastrointestinal bleeding of obscure origin: report of 17 cases and a guide to logical management Br J Surg 70 1983 489
3. J.N. Thompson, R.R. Salem, and A.P. Hemingway Specialist investigation of obscure gastrointestinal bleeding Gut 28 1987 47
4. ASGE Obscure gastrointestinal bleeding Gastrointest Endosc 58 2003 650
5. B.S. Lewis Small intestinal bleeding Gastroenterol Clin North Am 23 1994 67
6. V.R. Mujica, and J.S. Barkin Occult gastrointestinal bleeding: general overview and approach Gastrointest Endosc Clin N Am 6 1996 833
7. J.H. Hilsman The color of blood-containing feces following the instillation of citrated blood at various levels of the small intestine Gastroenterology 15 1950 131
8. A. Chak, M.K. Koehler, and S.N. Sundaram Diagnostic and therapeutic impact of push enteroscopy: analysis of factors associated with positive findings Gastrointest Endosc 47 1998 18
9. S. O'Mahony, A.J. Morris, and M. Straiton Push enteroscopy in the investigation of small-intestinal disease QJM 89 1996 685
10. A. Zaman, and R.M. Katon Push enteroscopy for obscure gastrointestinal bleeding yields a high incidence of proximal lesions within reach of a standard endoscope Gastrointest Endosc 47 1998 372
11. J.D. Waye Enteroscopy Gastrointest Endosc 46 1997 247
12. E.S. Rollins, D. Picus, and M.E. Hicks Angiography is useful in detecting the source of chronic gastrointestinal bleeding of obscure origin AJR Am J Roentgenol 156 1991 385
13. B.S. Lewis, A. Kornbluth, and J.D. Waye Small bowel tumours: yield of enteroscopy Gut 32 1991 763
14. D.D.T. Maglinte, F.M. Kelvin, and K. O'Connor Current status of small bowel radiography Abdom Imaging 21 1996 247
15. F.E. Rabe, G.J. Becker, and M.J. Besozzi Efficacy study of the small-bowel examination Radiology 140 1981 47
16. A.M. Fried, A. Poulos, and D.R. Hatfield The effectiveness of the incidental small-bowel series Radiology 140 1981 45
17. P.G. Foutch, R. Sawyer, and R.A. Sanowski Push-enteroscopy for diagnosis of patients with gastrointestinal bleeding of obscure origin Gastrointest Endosc 36 1990 337
18. B.S. Lewis, and J.D. Waye Undiagnosed chronic occult GI bleeding: the role of total small-bowel enteroscopy. A new diagnostic tool Am J Gastroenterol 81 1986 AB858
19. H. Kusumoto, I. Takahashi, and M. Yoshida Primary malignant tumors of the small intestine: analysis of 40 Japanese patients J Surg Oncol 50 1992 139
20. C.N. Bernstein, I.F. Boult, and H.M. Greenberg A prospective randomized comparison between small bowel enteroclysis and small bowel follow-through in Crohn's disease Gastroenterology 113 1997 390
21. H.C. Carlson Perspective: the small-bowel examination in the diagnosis of Crohn's disease AJR Am J Roentgenol 147 1986 63
22. D.J. Ott, Y.M. Chen, and D.W. Gerlfand Detailed per-oral small bowel examination vs. enteroclysis Radiology 155 1985 29
23. D.D.T. Maglinte, M.F. Elmore, and S.M. Chernish Enteroclysis in the diagnosis of chronic unexplained gastrointestinal bleeding Dis Colon Rectum 28 1985 403
24. A. Moch, H. Herlinger, and M.L. Kochman Enteroclysis in the evaluation of obscure gastrointestinal bleeding AJR Am J Roentgenol 163 1994 1381
25. D.K. Rex, J.C. Lappas, and D.D.T. Maglinte Enteroclysis in the evaluation of suspected small intestinal bleeding Gastroenterology 97 1989 58
26. J.R. Bessette, D.D.T. Maglinte, and F.M. Kelvin Primary malignant tumors in the small bowel: a comparison of the small-bowel enema and conventional follow-through examination AJR Am J Roentgenol 153 1989 741
27. D.D. Maglinte, S.M. Chernish, and F.M. Kelvin Crohn disease of the small intestine: accuracy and relevance of enteroclysis Radiology 184 1992 541
28. S.M. Chernish, D.D. Maglinte, and K. O'Connor Evaluation of the small intestine by enteroclysis for Crohn's disease Am J Gastroenterol 87 1992 696
29. R. Vallance An evaluation of the small bowel enema based on an analysis of 350 consecutive examinations Clin Radiol 31 1980 227
30. C.N. Bernstein A prospective randomized comparison between small bowel enteroclysis and small bowel follow-through in Crohn's disease [letter reply] Gastroenterology 114 1998 1350
31. C. Gasche, E. Schober, and K. Turetschek Small bowel barium studies in Crohn's disease Gastroenterology 114 1998 1349
32. F.M. Kelvin, and D.D. Maglinte Enteroclysis or small bowel follow-through in Crohn's disease? Gastroenterology 114 1998 1349 1351
33. D.J. Nolan Small bowel enteroclysis: pros Abdom Imaging 21 1996 243
34. D.M. Howarth, K. Tang, and W. Lees The clinical utility of nuclear medicine imaging for the detection of occult gastrointestinal haemorrhage Nucl Med (Stuttg) 23 2002 591
35. K.A. McKusick, J. Froelich, and R.J. Callahan 99mTc red blood cells for detection of gastrointestinal bleeding: experience with 80 patients AJR Am J Roentgenol 137 1981 1113
36. S.K. Ohri, L.A. Desa, and H. Lee Value of scintigraphic localization of obscure gastrointestinal bleeding J R Coll Surg Edinb 37 1992 328
37. I.J. Szasz, R.T. Morrison, and D.M. Lyster Technetium-99m-labelled red blood cell scanning to diagnose occult gastrointestinal bleeding Can J Surg 28 1985 512
38. G.R. Voeller, G. Bunch, and L.G. Britt Use of technetium-labeled red blood cell scintigraphy in the detection and management of gastrointestinal hemorrhage Surgery 110 1991 799
39. C.S. Wang, K.Y. Tzen, and M.J. Huang Localization of obscure gastrointestinal bleeding by technetium 99m-labeled red blood cell scintigraphy J Formos Med Assoc 91 1992 63
40. J.M. Hunter, and M.E. Pezim Limited value of the technetium-99m-labeled red cell scintigraphy in localization of lower gastrointestinal bleeding Am J Surg 159 1990 504
41. S.A. Wells Occult and obscure sources of gastrointestinal bleeding Curr Probl Surg 37 2000 863
42. D.A. Ng, F.G. Opelka, and D.E. Beck Predictive value of technetium Tc 99m-labeled red blood cell scintigraphy for positive angiogram in massive lower gastrointestinal hemorrhage Dis Colon Rectum 40 1997 471
43. M. Ymaguchi, S. Takeuchi, and S. Awazu Meckel's diverticulum: investigation of 600 patients in Japanese literature Am J Surg 136 1978 247
44. E.J. Berman, A. Schneider, and W.J. Potts Importance of gastric mucosa in Meckel's diverticulum JAMA 156 1954 6
45. M.J. Schwartz, and J.H. Lewis Meckel's diverticulum: pitfalls in scintigraphic detection in the adult Am J Gastroenterol 79 1984 611
46. M.S. Kong, C.Y. Chen, and K.Y. Tzen Technetium-99m pertechnetate scan for ectopic gastric mucosa in children with gastrointestinal bleeding J Formos Med Assoc 92 1993 717
47. G.N. Sfakianakis, and J.J. Conway Detection of ectopic gastric mucosa in Meckel's diverticulum and in other aberrations by scintigraphy: II. Indications and methods- a 10-year experience J Nucl Med 22 1981 732
48. M.S. Kong, S.C. Huang, and K.Y. Tzen Repeated technetium-99m pertechnetate scanning for children with obscure gastrointestinal bleeding J Pediatr Gastr Nutr 18 1994 284
49. S. Lin, P.V. Suhocki, and K.A. Ludwig Gastrointestinal bleeding in adult patients with Meckel's diverticulum: the role of technetium 99m pertechnetate scan South Med J 95 2002 1338
50. S. Heyman Meckel's diverticulum: possible detection by combining pentagastrin with histamine H2 receptor blocker J Nucl Med 35 1994 1656
51. S. Treves, R.J. Grand, and A.J. Eraklis Pentagastrin stimulation of technetium-99m uptake by ectopic gastric mucosa in a Meckel's diverticulum Radiology 128 1978 711
52. R.H. Diamond, R.D. Rothstein, and A. Alavi The role of cimetidine-enhanced technetium-99m-pertechnetate imaging for visualizing Meckel's diverticulum J Nucl Med 32 1991 1422
53. R.J. Petrakubi, S. Baum, and G.V. Rahrer Cimetidine administration resulting in improved pertechnetate imaging of Meckel's diverticulum Clin Nucl Med 3 1978 385
54. P.R. Singh, C.D. Russell, and E.V. Dubovsky Technique of scanning for Meckel's diverticulum Clin Nucl Med 3 1978 188
55. L.P. Connolly, S.T. Treves, and F. Bozorgi Meckel's diverticulum: demonstration of heterotopic gastric mucosa with technetium-99m-pertechnetate SPECT J Nucl Med 39 1998 1458
56. W.Y. Lau, S.T. Fan, and S.H. Wong Preoperative and intraoperative localisation of gastrointestinal bleeding of obscure origin Gut 28 1987 869
57. M. Nusbaum, S. Baum, and W.S. Blakemore Clinical experience with the diagnosis and management of gastrointestinal haemorrhage by selective mesenteric catheterization Ann Surg 170 1969 506
58. J.D. Moore, N.W. Thompson, and H.D. Appleman Arteriovenous malformations of the gastrointestinal tract Arch Surg 111 1976 381
59. W.Y. Lau, H. Ngan, and K.W. Chu Repeat selective visceral angiography in patients with gastrointestinal bleeding of obscure origin Br J Surg 76 1989 226
60. F.P. Sheedy, R.E. Fulton, and D.T. Atwell Angiographic evaluation of patients with chronic gastrointestinal bleeding AJR Am J Roentgenol 123 1975 338
61. B.L. Ng, J.N. Thompson, and A. Adam Selective visceral angiography in obscure postoperative gastrointestinal bleeding Ann R Coll Surg Engl 69 1987 237
62. S.M. Cohn, B.A. Moller, and P.M. Zieg Angiography for preoperative evaluation in patients with lower gastrointestinal bleeding: are the benefits worth the risks? Arch Surg 133 1998 50
63. S. Baum, J. Rosch, and C.T. Dotter Selective mesenteric arterial infusions in the management of massive diverticular hemorrhage N Engl J Med 288 1973 1269
64. W. Browder, E.J. Cerise, and M.S. Litwin Impact of emergency angiography in massive lower gastrointestinal bleeding Ann Surg 204 1986 530
65. M.R. Eckstein, V. Kelemouridis, and C.A. Athanasoulis Gastric bleeding: therapy with intraarterial vasopressin and transcatheter embolization Radiology 152 1984 643
66. B. Funaki Endovascular intervention for the treatment of acute arterial gastrointestinal bleeding Gastroenterol Clin North Am 31 2002 701
67. R.S. Bloomfield, T.P. Smith, and A.M. Schneider Provocative angiography in patients with gastrointestinal hemorrhage of obscure origin Am J Gastroenterol 95 2000 2807
68. G. Koval, K.G. Benner, and J. Rosch Aggressive angiographic diagnosis in acute lower gastrointestinal hemorrhage Dig Dis Sci 32 1987 248
69. E.S. Malden, M.E. Hicks, and H.D. Royal Recurrent gastrointestinal bleeding: use of thrombolysis with anticoagulation in diagnosis Radiology 207 1998 147
70. J.R. Mernagh, N. O'Donovan, and S. Somers Use of heparin in the investigation of obscure gastrointestinal bleeding Gastrointest Radiol 52 2001 232
71. J. Rosch, B.E. Kozak, and F.S. Keller Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding Eur J Radiol 6 1986 136
72. G.C. Ettorre, G. Francioso, and A.P. Garribba Helical CT angiography in gastrointestinal bleeding of obscure origin AJR Am J Roentgenol 168 1997 727
73. F. Junquera, S. Quiroga, and E. Saperas Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia Gastroenterology 119 2000 293
74. W.G. Kuhle, M.S. Engr, and R.G. Sheiman Detection of active colonic hemorrhage with use of helical CT: findings in a swine model Radiology 228 2003 743
75. R.M. Summers Science to practice: detection of active colonic hemorrhage with use of helical CT: findings in a swine model Radiology 228 2003 599
76. F.H. Miller, and C.M. Hwang An initial experience: using helical CT imaging to detect obscure gastrointestinal bleeding Clin Imaging 28 2004 245
77. F.H. Miller, M.J. Kline, and A.D. Vanagunas Detection of bleeding due to small bowel cholesterol emboli using helical CT examination in gastrointestinal bleeding of obscure origin Am J Gastroenterol 94 1999 3623
78. O. Ernst, P. Bulois, and S. Saint-Drenant Helical CT in acute lower gastrointestinal bleeding Eur Radiol 13 2003 114
79. K.W. Kim, and H.K. Ha MRI for small bowel diseases Semin Ultrasound CT 24 2003 387
80. C. Descamps, A. Schmit, and A. Van Gossum "Missed" upper gastrointestinal tract lesions may explain "occult" bleeding Endoscopy 31 1999 452
81. S. Lin, M.S. Branch, and M. Shetzline The importance of indication in the diagnostic value of push enteroscopy Endoscopy 35 2003 315
82. Z. Ackerman, R. Eliakim, and R. Stalnikowicz Role of small bowel biopsy in the endoscopic evaluation of adults with iron deficiency anemia Am J Gastroenterol 91 1996 2099
83. A. Carroccio, E. Iannitto, and F. Cavataio Sideropenic anemia and celiac disease: one study, two points of view Dig Dis Sci 43 1998 673
84. B.S. Lewis The history of enteroscopy Gastrointest Endosc Clin N Am 9 1999 1
85. K. Ogoshi, Y. Hara, and S. Ashizawa New technic for small intestinal fiberoscopy Gastrointest Endosc 20 1973 64
86. H.W. Parker, and J.D. Agayoff Enteroscopy and small bowel biopsy utilizing a peroral colonoscope [letter] Gastrointest Endosc 29 1983 139
87. C. Benz, R. Jakobs, and J.F. Riemann Do we need overtube for push enteroscopy? Endoscopy 33 2001 658
88. P. Cotton, and C. Williams Practical gastrointestinal endoscopy 4th edition. 1996 Blackwell Science Oxford
89. A.C. Taylor, R.Y. Chen, and P.V. Desmond Use of an overtube for enteroscopy: does it increase depth of insertion? A prospective study of enteroscopy with and without overtube Endoscopy 33 2001 227
90. A. Wilmer, and P. Rutgeerts Push enteroscopy: technique, depth, and yield of insertion Gastrointest Endosc Clin N Am 6 1996 759
91. R. Yang, and L. Laine Mucosal stripping: a complication of push enteroscopy Gastrointest Endosc 41 1995 156
92. A.L. Adrain, M.A. Dabezies, and B. Krevsky Enteroscopy improves the clinical outcome in patients with obscure gastrointestinal bleeding J Laparoendosc Adv Surg Tech A 8 1998 279
93. J. Chong, M. Tagle, and J.S. Barkin Small bowel push-type fiberoptic enteroscopy for patients with occult gastrointestinal bleeding or suspected small bowel pathology Am J Gastroenterol 89 1994 2143
94. B. Landi, M. Tkoub, and M. Gaudric Diagnostic yield of push-type enteroscopy in relation to indication Gut 42 1998 421
95. F.P. Rossini, A. Arrigoni, and M. Pennazio Clinical enteroscopy J Clin Gastroenterol 22 1996 231
96. A. Schmit, F. Gay, and M. Adler Diagnostic efficacy of push-enteroscopy and long-term follow-up of patients with small bowel angiodysplasias Dig Dis Sci 41 1996 2348
97. B.C. Sharma, D.K. Bhasin, and G. Makharia Diagnostic value of push-type enteroscopy: a report from India Am J Gastroenterol 95 2000 137
98. B. Landi, C. Cellier, and M. Gaudric Long-term outcome of patients with gastrointestinal bleeding of obscure origin explored by push enteroscopy Endoscopy 34 2002 355
99. S. Shinozaki, H. Yamamoto, and H. Kita Direct observation with double-balloon enteroscopy of an intestinal intramural hematoma resulting in anticoagulant ileus Dig Dis Sci 49 2004 902
100. H. Yamamoto, Y. Sekine, and Y. Sato Total enteroscopy with a nonsurgical steerable double-balloon method Gastrointest Endosc 53 2001 216
101. H. Yamamoto, and K. Sugano A new method of enteroscopy-the double-balloon method Can J Gastroenterol 17 2003 273
102. H. Yamamoto, T. Yano, and H. Kita New system of double-balloon enteroscopy for diagnosis and treatment of small intestinal disorders Gastroenterology 2003 1556 125
103. A. May, L. Nachbar, and A. Wardak Double-balloon enteroscopy: preliminary experience in patients with obscure gastrointestinal bleeding or chronic abdominal pain Endoscopy 35 2003 985
104. H. Yamamoto, H. Kita, and K. Sunada Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases Clin Gastroenterol Hepatol 2 2004 1010
105. J.S. Berner, K. Mauer, and B.S. Lewis Push and sonde enteroscopy for the diagnosis of obscure gastrointestinal bleeding Am J Gastroenterol 89 1994 2139
106. B.S. Lewis, and J.D. Waye Chronic gastrointestinal bleeding of obscure origin: role of small bowel enteroscopy Gastroenterology 94 1988 1117
107. R. Seensalu The sonde examination Gastrointest Endosc Clin N Am 9 1999 37
108. M. Pennazio, R. Santucci, and E. Rondonotti Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases Gastroenterology 126 2004 643
109. M. Appleyard, Z. Zireman, and A. Glukhovsky A randomized trial comparing wireless capsule endoscopy with push enteroscopy for detection of small-bowel lesions Gastroenterology 119 2000 1431
110. Appleyard M, Glukhovsky A, Swain P. Wireless-capsule diagnostic endoscopy for recurrent small-bowel bleeding. N Engl J Med 2001;344:232.
111. B. Lewis, and P. Swain Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: results of a pilot study Gastrointest Endosc 56 2002 349
112. A.K. Chong, A.C. Taylor, and A.M. Miller Initial experience of capsule endoscopy at a major referral center Med J Aust 178 2003 537
113. G. Costamagna, S.K. Shah, and M.E. Riccioni A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease Gastroenterology 123 2002 999
114. C. Ell, S. Remke, and A. May The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding Endoscopy 34 2002 685
115. M. Hahne, H.E. Adamek, and D. Schilling Wireless capsule endoscopy in a patient with obscure occult bleeding Endoscopy 34 2002 588
116. A.K. Hara, J.A. Leighton, and V.K. Sharma Small bowel: preliminary comparison of capsule endoscopy with barium study and CT Radiology 230 2004 260
117. M. Mylonaki, A. Fritscher-Ravens, and P. Swain Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding Gut 52 2003 1122
118. J.C. Saurin, M. Delvaux, and J.L. Gaudin Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy Endoscopy 35 2003 576
119. W. Selby Can clinical features predict the likelihood of finding abnormalities when using capsule endoscopy in patients with GI bleeding of obscure origin? Gastrointest Endosc 59 2004 782
120. J.A. Leighton, V.K. Sharma, and K. Srivathsan Safety of capsule endoscopy in patients with pacemakers Gastrointest Endosc 59 2004 567
121. J. Goldstein, G. Eisen, and B. Lewis Abnormal small bowel findings are common in healthy subjects screened for a multi-center, double blind, randomized, placebo-controlled trial using capsule endoscopy Gastroenterology 124 2003 A37
122. A.M. Ress, J.C. Bennacci, and M.G. Sarr Efficacy of intraoperative enteroscopy in diagnosis and prevention of recurrent, occult gastrointestinal bleeding Am J Surg 163 1992 94
123. A. Chong, A. Taylor, and A. Miller Clinical outcomes following capsule endoscopy (CE) examination of patients with obscure gastrointestinal bleeding (OGB) Gastrointest Endosc 57 2003 AB166
124. R. Chutkan, N. Toubia, and N. Balba Findings and follow-up on the first 125 video capsule patients at Georgetown University Hospital Gastrointest Endosc 57 2003 AB85
125. A. Rostogi, R.E. Schoen, and A. Silivka Diagnostic yield and outcomes of capsule endoscopy Gastrointest Endosc 57 2003 AB163
126. S. Brearley, P.C. Hawker, and N.J. Dorricott The importance of laparotomy in the diagnosis and management of intestinal bleeding of obscure origin Ann R Coll Surg Engl 68 1986 245
127. J.S. Delmotte, G.J. Gay, and P.H. Houcke Intraoperative endoscopy Gastrointest Endosc Clin N Am 9 1999 61
128. A. Zaman, B. Sheppard, and R.M. Katon Total peroral intraoperative enteroscopy for obscure GI bleeding using a dedicated push enteroscope: diagnostic yield and patient outcome Gastrointest Endosc 50 1999 506
129. L.A. Desa, S.K. Ohri, and K.A. Hutton Role of intraoperative enteroscopy in obscure gastrointestinal bleeding of small bowel origin Br J Surg 78 1991 192
130. R. Douard, P. Wind, and Y. Panis Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding Am J Surg 180 2000 181
131. B.S. Lewis, J.S. Wenger, and J.D. Waye Small bowel enteroscopy and intraoperative enteroscopy for obscure gastrointestinal bleeding Am J Gastroenterol 86 1991 171
132. A. Szold, L.B. Katz, and B.S. Lewis Surgical approach to occult gastrointestinal bleeding Am J Surg 163 1992 90
133. J.B. Baillie Value of laparotomy in the diagnosis of obscure gastrointestinal haemorrhage Gastrointest Endosc 45 1997 219
134. M.P.N. Lewis, D.E. Khoo, and J. Spencer Value of laparotomy in the diagnosis of obscure gastrointestinal haemorrhage Gut 37 1995 187
135. S.K. Ohri, J. Jackson, and L.A. Desa The intraoperative localization of the obscure bleeding site using fluorescein J Clin Gastroenterol 14 1992 331
136. J.M. Richter, M.R. Christensen, and G.A. Colditz Angiodysplasia: natural history and efficacy of therapeutic interventions Dig Dis Sci 34 1989 1542
137. E. van Cutsem, P. Rutgeerts, and G. Vantrappen Treatment of bleeding gastrointestinal vascular malformations with oestrogen-progesterone Lancet 335 1990 953
138. F. Junquera, F. Feu, and M. Papo A multicenter, randomized, clinical trial of hormonal therapy in the prevention of rebleeding from gastrointestinal angiodysplasia Gastroenterology 121 2002 1073
139. G. Nardone, A. Rocco, and T. Balzano The efficacy of octreotide therapy in chronic bleeding due to vascular abnormalities of the gastrointestinal tract Aliment Pharmacol Ther 13 1999 1429
140. M.P. Askin, and B.S. Lewis Push enteroscopic cauterization: long-term follow-up of 83 patients with bleeding small intestinal andiodysplasia Gastrointest Endosc 43 1996 580
141. D.F. Hutcheon, J. Kabelin, and G.B. Bulkley Effect of therapy on bleeding rates in gastrointestinal angiodysplasia Am Surg 53 1987 6