Abstract
The preoperative identification of a bleeding site is not always possible, particularly when bleeding originates in the small intestine. Small vascular abnormalities, such as the telangiectatic lesion described in this report, comprise about 40–60% of such cases. Preoperative location using arteriography, radionuclide bleeding scan, and enteroclysis were nondiagnostic. The lesion was demonstrated by intraoperative endoscopy. A segment of small intestine was resected, and the patient made an uneventful recovery.
Similar content being viewed by others
References
Biener A, Palestro C, Lewis BS, Katz LB (1990) Intraoperative scintigraphy for active small intestinal bleeding. Surg Gynecol Obstet 171: 388–392
Bowden TA Jr (1989) Endoscopy of the small intestine. Surg Clin North Am 69: 1237–1247
Clouse RE, Costigan DJ, Mills BA, Zuckerman GR (1985) Angiodysplasia as a cause of upper gastrointestinal bleeding. Arch Intern Med 145: 458–461
Duray PH, Marcal JM Jr, LiVolsi VA, Fisher R, Scholhamer C, Brand MH (1984) Small intestinal angiodysplasia in the elderly. J Clin Gastroenterol 6: 311–319
Dabezies MA, Fisher RS, Krevsky B (1991) Video small bowel enteroscopy: Early experience with a prototype instrument. Gastrointest Endosc 37: 60–65
Evensen SA, Blomhoff JP, Flatmark A, Elgjo K (1978) Peroperative endoscopic diagnosis of small intestinal bleeding. Scand J Gastroenterol 13: 593–597
Fazio VW, Zelas P, Weakley FL (1980) Intraoperative angiography and the localization of bleeding from the small intestine. Surg Gynecol Obstet 151: 637–640
Flickinger EG, Stanforth AC, Sinar DR, MacDonald KG, Lannin DR, Gibson JH. (1989) Intraoperative video panendoscopy for diagnosing sites of chronic intestinal bleeding. Am J Surg 157: 137–144
Foutch PG (1993) Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol 88: 807–818
Gostout CJ, Schroeder KW, Burton DD (1991) Small bowel enteroscopy: an early experience in GI bleeding of unknown origin. Gastrointest Endosc 37: 5–8
Hines Jr, Stryker SJ, Neiman HL, Larsen LR, Gottlieb J, Craig RM, Poticha SM (1981) Intraoperative angiography in intestinal angiodysplasia. Surg Gynecol Obstet 152: 453–460
Lau WY, Wong SY, Yuen WK, Wong KK (1989) Intraoperative enteroscopy for bleeding angiodysplasias of small intestine. Surg Gynecol Obstet 168: 341–344
Lau WY (1990) Intraoperative enteroscopy—indications and limitations. Gastrointest Endosc 36: 258–271
Lau WY, Yuen WK, Chu KW, Poon GP, Li AK (1992) Obscure bleeding in the gastrointestinal tract originating in the small intestine. Surg Gynecol Obstet 174: 119–124
Lewis BS, Wenger JS, Waye JD (1991) Small bowel enteroscopy and intraoperative enteroscopy for obscure gastrointestinal bleeding. Am J Gastroenterol 86: 171–174
Lewis BS, Waye JD (1988) Chronic gastrointestinal bleeding of obscure origin. Role of small bowel enteroscopy. Gastroenterology 94: 1117–1120
Monk JE, Smith BA, O'Leary JP (1989) Arteriovenous malformations of the small intestine. South Med J 82: 18–22
Moore JD, Thompson NW, Appelman MD, Foley D (1976) Arteriovenous malformations of the gastrointestinal tract. Arch Surg 111: 381–389
Richardson JD, Max MH, Flint LM Jr, Schweisinger W, Howard M, Aust JB (1978) Bleeding vascular malformations of the intestine. Surgery 84: 430–436
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Scott-Conner, C.E.H., Subramony, C. Localization of small intestinal bleeding. Surg Endosc 8, 915–917 (1994). https://doi.org/10.1007/BF00843472
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00843472