Authors: Adriana Vaz SafatleRibeiro Rogério Kuga Robson Ishida Carlos Furuya Ulysses Ribeiro Ivan Cecconello Shinichi Ishioka Paulo Sakai
Publish Date: 2007/06/26
Volume: 21, Issue: 12, Pages: 2231-2236
Abstract
Twenty patients had occult or obscure gastrointestinal bleeding The source of bleeding was identified in 15/20 75 multiple angiodysplasias in four arterialvenous malformation beyond the ligament of Treitz in two that could be treated with injection successfully Other diagnoses included duodenal adenocarcinoma jejunal tuberculosis erosions and ulcer of the jejunum Of 24 patients with other indications the diagnosis could be achieved in 18 of them 75 including two lymphomas plasmocytoma Gardner’s syndrome PeutzJeghers’ syndrome familial adenomatous polyposis Behçet’s disease jejunal submucosal lesion lymphangiectasia due to blastomycosis and unspecific chronic jejunitis Of three cases with RouxenY reconstruction two underwent DBE in order to perform biopsies of the excluded duodenum Additionally two patients underwent DBE to exclude Crohn’s disease and lymphoma of the small bowel The mean length of small bowel examination was 240 ± 50 cm during a single approach The diagnostic yield was 75 33/44 cases and therapeutic yield was 636 No major complications were observed only minor complication such as sore throat in 4/44 91
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