scholarly journals An Uncommon Cause of Small Bowel Bleeding from Appendiceal Carcinoma

2017 ◽  
Vol 11 (1) ◽  
pp. 250-255
Author(s):  
Teeranut Boonpipattanapong ◽  
Siriboon Attasaranya ◽  
Kanita Kayasut ◽  
Surasak Sangkhathat ◽  
Bancha Ovartlarnporn

Massive hematochezia caused by a small bowel lesion is a rare entity. Currently, video capsule endoscopy and balloon-assisted enteroscopy are effective in identifying the source of small intestine bleeding. Herein, we report a case of small bowel bleeding caused by a nonmucinous appendiceal adenocarcinoma with ileal invasion which was detected by video capsule endoscopy and single-balloon endoscopy. Despite the advanced disease stage with hepatic and peritoneal metastases, as of September 2016 the patient has had 8 years’ disease-free survival after surgical resection and chemotherapy.

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatma Ebru Akin ◽  
Oyku Tayfur Yurekli ◽  
Aylin Demirezer Bolat ◽  
Mustafa Tahtacı ◽  
Huseyin Koseoglu ◽  
...  

Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients’ lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas.


2018 ◽  
Vol 87 (6) ◽  
pp. AB299
Author(s):  
Neil B. Marya ◽  
Sonya Dasharathy ◽  
Adarsh M. Thaker ◽  
Jennifer Phan ◽  
M. Phillip Fejleh ◽  
...  

2018 ◽  
Vol 41 (12) ◽  
pp. 833-837 ◽  
Author(s):  
David Itskoviz ◽  
Ben Ben Avraham ◽  
Hagar Banai ◽  
Irit Avni ◽  
Tuvia Ben Gal ◽  
...  

Introduction: Suspected small bowel bleeding is frequently encountered in left ventricular assist device recipients and the identification of the culprit lesion may be challenging. Data regarding the safety and yield of small bowel capsule in the investigation of suspected small bowel bleeding are limited. We aimed to evaluate the safety and efficacy of small bowel video capsule endoscopy for the investigation of suspected small bowel bleeding among left ventricular assist device recipients. Methods: Patients with left ventricular assist device who underwent video capsule endoscopy for the investigation of suspected small bowel bleeding were identified. Suspected small bowel bleeding was defined as the presence of overt bleeding at least 30 days following left ventricular assist device implantation with no identifiable cause in upper and lower endoscopy. Results: A total of 10 patients with left ventricular assist device associated suspected small bowel bleeding performed 12 small bowel capsule endoscopies between January 2008 and December 2015 at our tertiary medical care facility. There were no cases of capsule retention or any other serious adverse events during the exams. A significant finding was identified in 8 out of 10 patients, including 3 cases of small bowel angioectasia, 2 cases of small bowel ulcers, 1 case of cecal polyp, and 2 cases of active bleeding with no apparent bleeding source. Small bowel enteroscopy identified and treated bleeding angioectasia in the latter two cases. Conclusion: Small bowel capsule endoscopy is safe and effective in the investigation of left ventricular assist device associated suspected small bowel bleeding.


2017 ◽  
Vol 51 (7) ◽  
pp. 611-618 ◽  
Author(s):  
Julajak Limsrivilai ◽  
Sitthipong Srisajjakul ◽  
Supot Pongprasobchai ◽  
Somchai Leelakusolvong ◽  
Tawesak Tanwandee

2009 ◽  
Vol 69 (5) ◽  
pp. AB375-AB376
Author(s):  
Caroline Wientjes ◽  
Elisabeth Mathus-Vliegen ◽  
Maria Elena Riccioni ◽  
Cristiano Spada ◽  
Guido Costamagna ◽  
...  

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