Clinical analysis of 68 cases of small intestine bleeding
10.3760/cma.j.issn.1008-6315.2012.03.032
- VernacularTitle:小肠出血68例临床分析
- Author:
Kejie LIU
;
Shilun TONG
;
Yongbin ZHENG
;
Hongfa GAN
;
Fengyu CAO
;
Xiaobo HE
;
Yu DING
- Publication Type:Journal Article
- Keywords:
Small intestine bleeding;
Small intestine tumours;
Small intestine diverticulum;
Inflammation
- From:
Clinical Medicine of China
2012;28(3):307-309
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the causes,diagnosis and treatment of small intestine bleeding.Methods Sixty-eight cases of small intestine bleeding from January 2000 to June 2010 were retrospectively analyzed.Among all cases,4 underwent routine hemostatic treatment under colonoscopy,40treated with open surgery and 24 patients with laparoscopic therapy.Among them,57 cases underwent part resection for some small intestine,completely laparoscopic resection of diverticula was performed in 7patients.Results Neoplasms was the leading cause of small intestine bleeding,accounting for 48.5％ (33/68)in these patients,followed by small intestine diverticulum accounted for 29.4％ ( 20/68 ),intestinal infective diseases accounted for 14.7％ ( 10/68 ) and vascular disease accounted for 7.4％ ( 5/68 ).Conclusion The clinical manifestations of small intestinal bleeding showed no specific signs.Neoplasm,intestine diverticulum and intestinal infective diseases are the most common causes of small intestinal bleeding.Small intestinal bleeding can be diagnosed in intraoperative colonoscopy.Surgery is the most effective treatment for small intestinal bleeding.
