Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam
Joint Authors
Nguyen, Hoang Nam
Nguyen, Cong Long
Pham, Khac Khiem
Nguyen, Canh Hiep
Dao, Tran Tien
Nguyen, Hoai Nam
Nguyen, The Phuong
Pham, Van Tuyen
Nguyen, Tuan Thanh
Vu, Anh Tuan
Vu, Truong Khanh
Source
Canadian Journal of Gastroenterology and Hepatology
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-11-30
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Aim.
Causes, clinical features, and diagnostic approaches for small bowel (SB) bleeding were analyzed to derive recommendations in dealing with this clinical condition.
Methods.
We included 54 patients undergoing surgical treatment for SB bleeding, from January 2009 to December 2019.
Detailed clinical data, diagnosis procedures, and causes of bleeding were collected.
Results.
Among 54 cases with SB bleeding, the most common causes were tumors (64.8%), followed by angiopathy (14.8%), ulcers (9.3%), diverticula (5.6%), tuberculosis (3.7%), and enteritis (1.9%).
Most tumors (32/35 cases, 91.4%) and vascular lesions (8/8 cases, 100%) were located in the jejunum.
The incidence of tumors was higher in the older (30/41 cases, 73.1%) than that in patients younger than 40 years of age (5/13 cases, 38.5%, P<0.01).
Common initial findings were melena (68.5%) and hematochezia (31.5%).
The overall diagnostic yield of computed tomographic enterography (CTE) was 57.4% (31/54 cases), with the figures for tumors, vascular lesions, and inflammatory lesions being 71.4% (25/35 cases), 62.5% (5/8 cases), and 12.5% (1/8 cases), respectively.
Double-balloon enteroscopy (DBE) definitively identified SB bleeding sources in 16/22 (72.7%) patients.
Conclusion.
Tumors, angiopathy, ulcers, and diverticula were the most common causes of SB bleeding in Northern Vietnamese population.
CTE has a high detection rate for tumors in patients with SB bleeding.
CTE as a triage tool may identify patients before double-balloon enteroscopy because of the high prevalence of SB tumors.
American Psychological Association (APA)
Nguyen, Cong Long& Pham, Khac Khiem& Nguyen, Canh Hiep& Nguyen, Hoang Nam& Dao, Tran Tien& Nguyen, Hoai Nam…[et al.]. 2020. Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam. Canadian Journal of Gastroenterology and Hepatology،Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1139071
Modern Language Association (MLA)
Nguyen, Cong Long…[et al.]. Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam. Canadian Journal of Gastroenterology and Hepatology No. 2020 (2020), pp.1-7.
https://search.emarefa.net/detail/BIM-1139071
American Medical Association (AMA)
Nguyen, Cong Long& Pham, Khac Khiem& Nguyen, Canh Hiep& Nguyen, Hoang Nam& Dao, Tran Tien& Nguyen, Hoai Nam…[et al.]. Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam. Canadian Journal of Gastroenterology and Hepatology. 2020. Vol. 2020, no. 2020, pp.1-7.
https://search.emarefa.net/detail/BIM-1139071
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1139071