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Endoscopic Evaluation and Management of Gastrointestinal Bleeding in Patients with Ventricular Assist Devices
Joint Authors
Firstenberg, Michael S.
Meyer, Marty M.
Young, Scott D.
Sun, Benjamin
Azzouz, Maher
Source
Gastroenterology Research and Practice
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-02-28
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
The optimal diagnostic approach and yield for gastrointestinal bleeding (GIB) in patients with ventricular assist devices (VAD) are unknown.
We explored the etiology of bleeding and yield of upper and lower endoscopy, balloon-assisted enteroscopy, and video capsule endoscopy in the evaluation of GIB in patients with VADs.
Methods.
All VAD patients with overt gastrointestinal bleeding and drop in hematocrit from April 1, 2000 to July 31, 2008 were retrospectively reviewed.
The endoscopic evaluation of each episode was recorded.
Overall yield of EGD, colonoscopy, balloon-assisted, and video capsule endoscopy were evaluated.
Results.
Thirty-six bleeding episodes occurred involving 20 patients.
The site of GIB was identified in 32/36 episodes (88.9%), and the etiology of bleeding was determined in 30/36 cases (83.3%).
Five VAD patients underwent VCE.
The VCE exams demonstrated a high yield with 80% of exams identifying the etiology of GIB.
Endoscopic intervention was successful in 8/9 attempts.
No adverse events were recorded.
Two patients required surgical intervention for GIB.
Conclusion.
Upper, lower, video capsule, and balloon-assisted enteroscopies are safe and demonstrate a high yield in the investigation of gastrointestinal bleeding in VAD patients.
Medical centers caring for VAD patients should employ a standardized protocol to optimize endoscopic evaluation and intervention.
American Psychological Association (APA)
Meyer, Marty M.& Young, Scott D.& Sun, Benjamin& Azzouz, Maher& Firstenberg, Michael S.. 2012. Endoscopic Evaluation and Management of Gastrointestinal Bleeding in Patients with Ventricular Assist Devices. Gastroenterology Research and Practice،Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-486559
Modern Language Association (MLA)
Meyer, Marty M.…[et al.]. Endoscopic Evaluation and Management of Gastrointestinal Bleeding in Patients with Ventricular Assist Devices. Gastroenterology Research and Practice No. 2012 (2012), pp.1-6.
https://search.emarefa.net/detail/BIM-486559
American Medical Association (AMA)
Meyer, Marty M.& Young, Scott D.& Sun, Benjamin& Azzouz, Maher& Firstenberg, Michael S.. Endoscopic Evaluation and Management of Gastrointestinal Bleeding in Patients with Ventricular Assist Devices. Gastroenterology Research and Practice. 2012. Vol. 2012, no. 2012, pp.1-6.
https://search.emarefa.net/detail/BIM-486559
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-486559