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Submitted: 29 January 2013 Modified: 13 February 2013
HERDIN Record #: PCHRD13012914392851

Gastrointestinal bleeding of obscure origin.

F T. Leelin,
A E. Ismael,
J D.  Sollano Jr

Obscure GI bleeding is defined as recurrent bouts of acute or chronic bleeding for which no definite source has been discovered by routine endoscopic and x-ray contrast studies. We describe the clinical course and management of 19 patients seen for obscure GI bleeding from November, 1990 to December, 1994. Diagnostic work-up included endoscopy, barium contrast studies, visceral angiographies and bleeding scans. There were 11 males (57%), and 8 females (43%). Mean age was 56 years old (range of 30-88 yrs.). Six patients presented with melena, 7 with hematochezia, and 3 with hematemesis. In 9 patients, the diagnosis was established: 2 had typhoid ileitis, 2 had small intestinal ecchymosis, 1 had an A-V malformation, 1 had adenocarcinoma of the small intestine. In 10 patients there was no diagnosis. Pushenteroscopy had 100% yield. There was an average transfusion requirement of 10 units of blood per patient. Seven patients (36%) required surgery while close observation was done on remaining 12 patients. There were 4 mortalities. Patients had a mean hospital stay of 11 days. In the majority of patients with obscure GI bleeding, the diagnosis is difficult to establish.

Publication Type
Biennial Report
Title
University of Santo Tomas Research Report 1994-1996
Publication Date
January 1996
Page(s)
68-69

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