Background
The diagnosis of small bowel disease is still a mattern of concern among experts. Each imaging technique has its advantages but also its limits. This is particularly true when dealing with the management of patients with obscure gastrointestinal bleeding. In this group, the positive detection rates are in the range of 43–60% with double-balloon enteroscopy (DBE) [1, 2], 42–77% with capsule endoscopy (CE) [3], 21–24% with computed tomography (CT), and 5–25% with small bowel series [4], with the highest accuracies thus obtained with DBE and CE. Here we present a difficult case of gastrointestinal bleeding.
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Multiple Choice Questionnaire
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1)
What is the incidence of small bowel tumors as a percentage of all neoplasms of the digestive tract?
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a.
5–10%
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b.
10–15%
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c.
1–3%
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d.
15–20%
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a.
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2)
True or false: Capsule endoscopy can always be performed along the digestive tract.
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a.
yes
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b.
no
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c.
yes, only if we use the patency system
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a.
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3)
Which GISTs are associated with a higher risk of malignancies?
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a.
GISTS are a benign disease
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b.
those with a mitotic index of > 10 mitosis per 50 HPF
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c.
those with a mitotic index of > 5 mitoses per 50 HPF
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d.
those with a mitotic index of > 50 mitoses per 50 HPF
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a.
1.c — 2.c — 3.b —
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Marinozzi, G., Parisi, A., Della Spoletina, A., Astolfi, A., Ascani, S., Trecca, A. (2013). Capsule, Enteroscopy, or Radiology? The Gastroenterological Dilemma. In: Trecca, A. (eds) Atlas of Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-5205-5_24
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DOI: https://doi.org/10.1007/978-88-470-5205-5_24
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