小肠出血的诊断和处理

IF 3.2 3区 医学 Q2 GASTROENTEROLOGY & HEPATOLOGY Best Practice & Research Clinical Gastroenterology Pub Date : 2023-06-01 DOI:10.1016/j.bpg.2023.101844
Marco Pennazio , Pablo Cortegoso Valdivia , Konstantinos Triantafyllou , Ian M. Gralnek
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引用次数: 5

摘要

小肠出血对临床医生来说是一个具有挑战性的问题,在诊断和后续治疗中都存在许多陷阱。视频胶囊内窥镜检查(VCE)和设备辅助肠镜检查(DAE)彻底改变了SB出血患者的治疗方法,允许对以前只是外科手术的内容进行内窥镜诊断和管理。患者对SB出血的评估至关重要,因为治疗成功取决于对临床病史的详细评估、对潜在病变的怀疑以及诊断和治疗工具的仔细选择和时机。这篇综述将总结目前最先进的证据和实践要点,为临床医生提供SB出血管理的全面指南。
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Diagnosis and management of small-bowel bleeding

Small-bowel (SB) bleeding is a challenging problem for the clinician, presenting many pitfalls in both diagnosis and subsequent treatment. Videocapsule endoscopy (VCE) and device-assisted enteroscopy (DAE) have revolutionized the approach to the patient with SB bleeding, allowing for the endoscopic diagnosis and management of what was previously only a surgical matter. The patients’ assessment in SB bleeding is of foremost importance, as treatment success relies on a detailed evaluation of clinical history, suspicion for underlying lesions, and a careful selection and timing of diagnostic and therapeutic tools. This review will summarize current state-of-the-art evidence and practice points, to provide the clinician with a comprehensive guide towards the management of SB bleeding.

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来源期刊
CiteScore
5.50
自引率
0.00%
发文量
23
审稿时长
69 days
期刊介绍: Each topic-based issue of Best Practice & Research Clinical Gastroenterology will provide a comprehensive review of current clinical practice and thinking within the specialty of gastroenterology.
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