Gastrointestinal Bleeding

 

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Studies on the endoscopic management of gastrointestinal bleeding are concentrating mainly on either evaluating already established techniques, with assessment of outcome - for example, band ligation and argon plasma coagulation - or on refining more recently introduced methods such as hemoclipping, or on exploring newer indications for known techniques, as with endoscopic ultrasonography. Of course, new devices to bridge diagnostic and therapeutic gaps in the field of gastrointestinal hemorrhage are also being introduced and subjected to preliminary trials - for example, the development of double-balloon enteroscopy and rotatable planar electrodes using radiofrequency for hemostasis. Continuing enthusiasm regarding capsule endoscopy is reflected by the large number of abstracts on this topic, as well as increasing interest in the study of small-bowel vascular lesions.

References

• 1 Ahmad A, Bruno J M, Boynton R. et al . Nasogastric aspirates frequently lead to erroneous results and delay of therapy in patients with suspected UGI bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 163
  PubMedGoogle Scholar
• 2 Bampton P, Sandford J, Ramnath G. et al . Utilization of the Rockall score in the development of a clinical pathway for the management of non-variceal upper gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 163
  PubMedGoogle Scholar
• 3 Humbert-Sebbagh V, Attar A, Le Toumelin P. et al . The Blatchford scoring system does not predict the need for intervention in upper gastrointestinal hemorrhage [abstract].  Gastrointest Endosc. 2004;  59 AB 163
  PubMedGoogle Scholar
• 4 Ong T Z, Yeoh K G, Ho K Y. Emergency endoscopy within 4 hours is an independent predictive factor for reduced mortality in patients presenting with high-risk upper GI bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 162
  PubMedGoogle Scholar
• 5 Loperfido S, Bellina L, Bo N D. et al . Impact of multimodal endoscopic therapy on outcome of acute upper gastrointestinal bleeding (AUGIB): comparison between 2002 and 1985 in the Treviso Area (north-east Italy) [abstract].  Gastrointest Endosc. 2004;  59 AB 162
  PubMedGoogle Scholar
• 6 Peifer K J, Zuckerman G R, Lisker-Melman . et al . Frequency of variceal upper gastrointestinal bleeding (UGIB) in patients with established varices [abstract].  Gastrointest Endosc. 2004;  59 AB 163
  PubMedGoogle Scholar
• 7 Anand C P, Lindsy J, Oprescu F. et al . Unsedated peroral small-caliber endoscopy for screening of cirrhotics for esophageal varices (EV) [abstract].  Gastrointest Endosc. 2004;  59 AB 239
  PubMedGoogle Scholar
• 8 Bittinger M, Probst A, Eberl T. et al . Bleeding from rectal varices in patients with liver cirrhosis: an ominous event [abstract].  Gastrointest Endosc. 2004;  59 AB 270
  PubMedGoogle Scholar
• 9 Macedo E, Thuler F, di Sena V. et al . Endoscopic and echoendoscopic evaluation of gastric varices eradication with cyanoacrylate [abstract].  Gastrointest Endosc. 2004;  59 AB 238
  PubMedGoogle Scholar
• 10 Hino S, Kakutani H, Ikeda K. et al . Prediction of recurrence of esophageal varices following endoscopic treatment using color Doppler endoscopic ultrasonography [abstract].  Gastrointest Endosc. 2004;  59 AB 212
  PubMedGoogle Scholar
• 11 Lee D H, Kim N Y, Kim J W. et al . Long-term efficacy of endoscopic variceal ligation for esophageal variceal bleeding: the presence of portal hypertensive gastropathy and total number of EVL sessions were risk factors of rebleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 248
  PubMedGoogle Scholar
• 12 Sollano J D Jr, Dy F T, Wong S N. et al . Endoscopic variceal ligation (EVL): the more, the merrier? A prospective multicenter randomized controlled study [abstract].  Gastrointest Endosc. 2004;  59 AB 109
  PubMedGoogle Scholar
• 13 Nagamine N, Ono K, Ido K. et al . A prospective study on long-term outcome of modified EVL for prophylactic patients with risky varices [abstract].  Gastrointest Endosc. 2004;  59 AB 249
  PubMedGoogle Scholar
• 14 Billi P, Grilli A, Mwangemi C. et al . Endoscopic ligation of esophagogastric varices with a new multiple-band ligator [abstract].  Gastrointest Endosc. 2004;  59 AB 248
  PubMedGoogle Scholar
• 15 Matsui S, Kudo M, Ichikawa T. et al . Comparison of argon plasma coagulation and paravariceal injection sclerotherapy of 1 % polidocanol in mucosa-fibrosing therapy for esophageal varices [abstract].  Gastrointest Endosc. 2004;  59 AB 247
  PubMedGoogle Scholar
• 16 Noophun P, Kongkam P, Rerknimitr R. Endoscopic treatment of bleeding gastric varices by cyanoacrylate injection at King Chulalongkorn Memorial Hospital [abstract].  Gastrointest Endosc. 2004;  59 AB 248
  PubMedGoogle Scholar
• 17 Marques P, Maluf-Filho F, Matugama S. et al . Early and late results of endoscopic injection of N-butyl-2-cyanoacrylate in bleeding gastric varices [abstract].  Gastrointest Endosc. 2004;  59 AB 248
  PubMedGoogle Scholar
• 18 Saltzman J, Walsh S, Di Sena . et al . Prospective trial of endoscopic clips versus combination therapy in upper GI bleeding (PROTECCT-UGI bleeding) [abstract].  Gastrointest Endosc. 2004;  59 AB 109
  PubMedGoogle Scholar
• 19 Horiuchi A, Nakayama Y, Fujii H. Usefulness of the combined endoscopic hemostatic therapy of hemoclip method following 5 % hypertonic saline-epinephrine injection for the management of actively bleeding peptic ulcers [abstract].  Gastrointest Endosc. 2004;  59 AB 164
  PubMedGoogle Scholar
• 20 Park J H, Chae H S, Cho Y S. et al . The usefulness of endoscopic treatment compared hemoclipping with band ligation on active bleeding of Mallory-Weiss syndrome [abstract].  Gastrointest Endosc. 2004;  59 AB 165
  PubMedGoogle Scholar
• 21 Hosoe N, Imaeda H, Ogata H. et al . Procedure of endoscopic hemostasis using a distal attachment and short clips against upper gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 165
  PubMedGoogle Scholar
• 22 Zanati S A, Cohen J, Haber G B. et al . Long-term outcome of argon plasma coagulation therapy in 84 patients with gastrointestinal angiomata [abstract].  Gastrointest Endosc. 2004;  59 AB 162
  PubMedGoogle Scholar
• 23 Long G, Mills T, Swain P. Rotatable planar electrodes for endoscopic hemostasis [abstract].  Gastrointest Endosc. 2004;  59 AB 150
  PubMedGoogle Scholar
• 24 Skelly M M, Arasaradnam R, Donnelly M. The right and left conundrum: colonoscopy or flexible sigmoidoscopy for the investigation of isolated rectal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 271
  PubMedGoogle Scholar
• 25 Grisolano S W, Ramage J I Jr, Pardi D S. et al . Lower gastrointestinal bleeding due to colonic Dieulafoy lesions: cumulative incidence and treatment outcomes [abstract].  Gastrointest Endosc. 2004;  59 AB 270
  PubMedGoogle Scholar
• 26 Olmos J A, Marcolongo M, Pogorelsky V. et al . Argon plasma coagulation in the prevention of recurrent bleeding from colonic angiodysplasias [abstract].  Gastrointest Endosc. 2004;  59 AB 270
  PubMedGoogle Scholar
• 27 Secchi T, Poletti P, Tung Y. et al . Is the angiodysplasia of the small bowel a real source of obscure GI bleeding (OGIB) or just an aging alteration of small bowel? [abstract].  Gastrointest Endosc. 2004;  59 AB 176
  PubMedGoogle Scholar
• 28 Katwala K N, Sontag S J. Recent or current GI bleeding: AVM must be obliterated when detected on endoscopy: a long-term follow-up study [abstract].  Gastrointest Endosc. 2004;  59 AB 139
  PubMedGoogle Scholar
• 29 May A D, Nachbar L, Wardak A. et al . Double-balloon enteroscopy in patients with obscure gastrointestinal bleeding and/or chronic abdominal pain [abstract].  Gastrointest Endosc. 2004;  59 AB 155
  PubMedGoogle Scholar
• 30 Bernadino K, Anderson P B, Bensen S P. Diagnostic yield of video capsule endoscopy for iron-deficiency anemia without overt gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 166
  PubMedGoogle Scholar
• 31 Fireman Z, Frideman S. The diagnostic yield of capsule endoscopy in iron-deficiency anemia [abstract].  Gastrointest Endosc. 2004;  59 AB 167
  PubMedGoogle Scholar
• 32 Bar-Meir S, Nadler M, Barkai O. et al . Second capsule endoscopy examination in patients with severe iron deficiency anemia (IDA) [abstract].  Gastrointest Endosc. 2004;  59 AB 168
  PubMedGoogle Scholar
• 33 Olivier F, Philippe J, Jacques D. Impact of video capsule findings in the management and evolution of unexplained digestive bleeding: 50 patients with 11 months’ follow-up [abstract].  Gastrointest Endosc. 2004;  59 AB 168
  PubMedGoogle Scholar
• 34 Barnert J RA, Wicker M, Bittinger M. et al . Evaluation of the diagnostic yield of capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB) or unexplained chronic iron-deficiency anemia (UIDA) [abstract].  Gastrointest Endosc. 2004;  59 AB 168
  PubMedGoogle Scholar
• 35 Cary E J, Leighton J A, Heigh R I. et al . Single-center outcomes of 260 consecutive patients undergoing capsule endoscopy for obscure GI bleeding [abstract].  Gastroenterology. 2004;  126 A-96
  PubMedGoogle Scholar
• 36 Ehmann T, Moubayed H, Troillet F X. et al . Therapeutic impact of capsule endoscopy in the work-up of obscure gastrointestinal bleeding [abstract].  Gastroenterology. 2004;  126 A-459
  PubMedGoogle Scholar
• 37 Tang S J, Christodoulou D, Zanati S. et al . Wireless capsule endoscopy for obscure gastrointestinal bleeding: single-center, one-year experience [abstract].  Gastroenterology. 2004;  126 A-461
  PubMedGoogle Scholar
• 38 Li Y, Xu Z, Chen L. et al . Capsule endoscopy in the evaluation of obscure gastrointestinal bleeding [abstract].  Gastroenterology. 2004;  126 A-461
  PubMedGoogle Scholar
• 39 Saunders M, Nietsch H, Lee S D. et al . Capsule endoscopy (CE) versus push enteroscopy (PE) for obscure gastrointestinal bleeding (OGIB): a randomized, single-blind, cross-over study [abstract].  Gastrointest Endosc. 2004;  59 AB 100
  PubMedGoogle Scholar
• 40 May A D, Wardak A, Nachbar L. et al . Influence of patient selection on the outcome of capsule endoscopy in patients with chronic gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 167
  PubMedGoogle Scholar
• 41 Schmidt H, Hartmann D, Kinzel F. et al . Prospective controlled multicentric trial comparing capsule endoscopy with intraoperative enteroscopy: long-term results in patients with chronic gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 166
  PubMedGoogle Scholar
• 42 Shapira S, Pluta K, Enns R. A negative capsule endoscopy decreases resource utilization in obscure gastrointestinal bleeding [abstract].  Gastrointest Endosc. 2004;  59 AB 166
  PubMedGoogle Scholar
• 43 Jakobs R, Hartmann D, Bolz G. et al . Intraoperative enteroscopy for the diagnosis of bleeding from unknown origin: a series of 58 consecutive patients [abstract].  Gastrointest Endosc. 2004;  59 AB 155
  PubMedGoogle Scholar
• 44 Mueller E, Schwander B, Bergemann R. Cost-effectiveness of capsule endoscopy in diagnosing obscure gastrointestinal bleeding: an international comparison [abstract].  Gastrointest Endosc. 2004;  59 AB 138
  PubMedGoogle Scholar

A. M. Kassem, M. D.

Dept. of Tropical Medicine and Gastrointestinal Endoscopy Unit, Faculty of Medicine, Cairo University

13, Ahmed Abdel Aziz Street · Agouza · Cairo · Egypt

Fax: +20-2-303-7096 ·

Email: kassem@mx.global.de