scholarly journals Gastrointestinal Bleeding Of Unknown Origin In Patients With Splenic Aneurysm

2021 ◽  
Author(s):  
Jaihwan Kim
Keyword(s):  
Gastrointestinal Bleeding ◽  
Unknown Origin ◽  
Splenic Aneurysm

scholarly journals Evaluation & Management of Obscure Gastrointestinal Bleeding (OGIB)

1970 ◽  
Vol 28 (3) ◽  
pp. 167-173
Author(s):  
S Perveen ◽  
MR Hossain ◽  
SMB Hussain ◽  
MA Ahmed ◽  
H Aftab
Keyword(s):  
Gastrointestinal Bleeding ◽  
Case Fatality ◽  
Unknown Origin ◽  
Obscure Gastrointestinal Bleeding ◽  
Gi Bleeding ◽  
Accurate Identification ◽  
Ulcer Disease ◽  
Diagnostic Angiography ◽  
The Usa ◽  
Underlying Pathophysiology

Gastrointestinal bleeding is a common entity. Incidence of bleeding has comparatively increased though case fatality is static. Despite improved treatments and better understanding of the underlying pathophysiology of peptic ulcer disease the rising figures of GI bleeding reflect an increasing proportion of elderly population and nonsteroidal anti-inflammatory use. Overall, 5% of all cases of gastrointestinal bleeding fall under the category of Obscure gastrointestinal bleeding (OGIB) in the USA. Obscure gastrointestinal bleeding is defined as bleeding of unknown origin that persists or recurs after an initial negative endoscopic evaluation including colonoscopy and/or upper endoscopy. OGIB can be either Occult (no visible blood) or Overt (Passage of visible blood).Less common aetiologies of GI bleeding e.g. Cameron erosions, Dieulafoy’s lesion, Watermelon stomach that are sometimes difficult to identify at endoscopy often present as OGIB. They need special techniques even thrombolytic therapy to precipitate bleeding for diagnostic angiography. Increased awareness of the existence of such conditions help in rapid and accurate identification of the lesion. Review of such cases will be the focus of this publication. DOI: 10.3329/jbcps.v28i3.6512J Bangladesh Coll Phys Surg 2010; 28: 174-182

Small bowel enteroscopy: an early experience in gastrointestinal bleeding of unknown origin

1991 ◽  
Vol 37 (1) ◽  
pp. 5-8 ◽  
Author(s):  
Christopher J. Gostout ◽  
Kenneth W. Schroeder ◽  
Duane D. Burton
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Unknown Origin ◽  
Early Experience

scholarly journals Peritoneal dialysis catheter dysfunction due to fibrin clots following treatment with tranexamic acid: a clinical case

2021 ◽  
Vol 4 (2) ◽  
pp. 121-128
Author(s):  
Elodie Bogner ◽  
Elodie Ferrero ◽  
Joelle Marin ◽  
Stanislas Bataille
Keyword(s):  
Peritoneal Dialysis ◽  
Gastrointestinal Bleeding ◽  
Tranexamic Acid ◽  
Unknown Origin ◽  
Peritoneal Dialysis Patient ◽  
Fibrin Clot ◽  
Peritoneal Dialysis Catheter ◽  
Catheter Dysfunction ◽  
Patients Experience ◽  
Fibrin Clots

Chronic kidney disease patients experience not only more frequent arterial and venous thrombosis but also hemorrhagic episodes. Tranexamic acid is an anti-fibrinolytic molecule that inhibits plasmin activation. It is used in hemorrhage cases (post-traumatic, gynecologic, or gastrointestinal bleeding). We report on an original case of tranexamic acid (Exacyl®) use in a peritoneal dialysis patient for gastrointestinal bleeding of unknown origin. The use of tranexamic acid led to the Tenckhoff catheter dysfunction because of fibrin clots in the dialysate. The emergence of fibrin clots a few days after the start of tranexamic acid treatment, which never occurred again after the end of the treatment, and the anti-fibrinolytic function of tranexamic acid favors this treatment’s role in fibrin clot occurrence.

The price of surgery for weight reduction – gastrointestinal bleeding of unknown origin

2007 ◽  
Vol 45 (05) ◽  
Author(s):  
T Szamosi ◽  
K Rábai ◽  
Z Czeglédi ◽  
Z Nagy ◽  
F Salamon ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Weight Reduction ◽  
Unknown Origin

scholarly journals Utility of the endoscopic capsule in the study of the patient with severe anemia due to probable gastrointestinal bleeding of occult origin

2020 ◽  
Vol 105 (105(810)) ◽  
pp. 123-124
Author(s):  
R. Rodríguez-Moncada ◽  
J. A. López-Díaz ◽  
E. Gómez-Delgado ◽  
J. M. Vázquez-Morón
Keyword(s):  
Case Report ◽  
Surgical Treatment ◽  
Iron Deficiency ◽  
Gastrointestinal Bleeding ◽  
Early Stage ◽  
Unknown Origin ◽  
Severe Anemia ◽  
Etiological Diagnosis ◽  
Endoscopic Capsule

Among complementary tests requested for the unknown-origin iron deficiency patient, gastroscopy and colonoscopy are frequent. However, it is important to assess the need to perform other studies if an etiological diagnosis is not reached, among which the endoscopic capsule stands out. In this case report the endoscopic capsule was essential to establish the jejunal adenocarcinoma diagnosis in an early stage of the disease, allowing the patient to undergo a curative surgical treatment without necessity of other therapies.

Jejunal Lesion Identified at a Previous Anastomosis Site in a Dog Using Capsule Endoscopy

2020 ◽  
Vol 56 (1) ◽  
pp. 30-33 ◽  
Author(s):  
Millie Grimes ◽  
Todd Cohen ◽  
Jill S. Pomrantz
Keyword(s):  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Clinical Signs ◽  
Unknown Origin ◽  
Exploratory Laparotomy ◽  
Abdominal Ultrasound ◽  
History Of ◽  
Focal Abnormality ◽  
Small Intestinal Diverticulum ◽  
Resection And Anastomosis

ABSTRACT A 3 yr old spayed female French bulldog was evaluated for a progressive regenerative anemia of unknown origin that was unresponsive to empiric immunosuppressive and gastroprotective therapy. The patient had a history of previous resection and anastomosis of a small intestinal diverticulum ∼2 yr prior to evaluation for her anemia. Capsule endoscopy revealed a focal abnormality in the distal jejunum at the site of a previous bowel resection and anastomosis. This lesion was suspected to be the cause of ongoing gastrointestinal bleeding and anemia. Exploratory laparotomy combined with endoscopy was performed to further investigate and localize the jejunal lesion. The lesion was resected, and a primary end-to-end jejunal anastomosis was performed. Histopathology of the specimen revealed jejunal suture granulomas with focal ulceration. The patient recovered well from surgery with significant improvement of the anemia and resolution of clinical signs at recheck examinations 1 and 2 wk postoperatively. Complete resolution of the anemia was noted at a 6 wk follow-up. The case report demonstrates how, in cases of unknown causes of anemia, capsule endoscopy is a noninvasive method of identifying the presence of gastrointestinal bleeding as a result of lesions that might otherwise not be detectable with abdominal ultrasound or conventional endoscopy. The report also documents a long-term complication to a resection and anastomosis surgery.

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