Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam
Aim. Causes, clinical features, and diagnostic approaches for small bowel (SB) bleeding were analyzed to derive recommendations in dealing with this clinical condition. Methods. We included 54 patients undergoing surgical treatment for SB bleeding, from January 2009 to December 2019. Detailed clinic...
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| Format: | Article |
| Language: | English |
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Wiley
2020-01-01
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| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2020/8884092 |
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| author | Cong Long Nguyen Khac Khiem Pham Canh Hiep Nguyen Hoang Nam Nguyen Tran Tien Dao Hoai Nam Nguyen The Phuong Nguyen Van Tuyen Pham Tuan Thanh Nguyen Anh Tuan Vu Truong Khanh Vu |
| author_facet | Cong Long Nguyen Khac Khiem Pham Canh Hiep Nguyen Hoang Nam Nguyen Tran Tien Dao Hoai Nam Nguyen The Phuong Nguyen Van Tuyen Pham Tuan Thanh Nguyen Anh Tuan Vu Truong Khanh Vu |
| author_sort | Cong Long Nguyen |
| collection | DOAJ |
| description | Aim. Causes, clinical features, and diagnostic approaches for small bowel (SB) bleeding were analyzed to derive recommendations in dealing with this clinical condition. Methods. We included 54 patients undergoing surgical treatment for SB bleeding, from January 2009 to December 2019. Detailed clinical data, diagnosis procedures, and causes of bleeding were collected. Results. Among 54 cases with SB bleeding, the most common causes were tumors (64.8%), followed by angiopathy (14.8%), ulcers (9.3%), diverticula (5.6%), tuberculosis (3.7%), and enteritis (1.9%). Most tumors (32/35 cases, 91.4%) and vascular lesions (8/8 cases, 100%) were located in the jejunum. The incidence of tumors was higher in the older (30/41 cases, 73.1%) than that in patients younger than 40 years of age (5/13 cases, 38.5%, P<0.01). Common initial findings were melena (68.5%) and hematochezia (31.5%). The overall diagnostic yield of computed tomographic enterography (CTE) was 57.4% (31/54 cases), with the figures for tumors, vascular lesions, and inflammatory lesions being 71.4% (25/35 cases), 62.5% (5/8 cases), and 12.5% (1/8 cases), respectively. Double-balloon enteroscopy (DBE) definitively identified SB bleeding sources in 16/22 (72.7%) patients. Conclusion. Tumors, angiopathy, ulcers, and diverticula were the most common causes of SB bleeding in Northern Vietnamese population. CTE has a high detection rate for tumors in patients with SB bleeding. CTE as a triage tool may identify patients before double-balloon enteroscopy because of the high prevalence of SB tumors. |
| format | Article |
| id | doaj-art-a54d1b7533674d1f8d960a698cd5a7dd |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2020-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-a54d1b7533674d1f8d960a698cd5a7dd2025-02-03T06:05:41ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972020-01-01202010.1155/2020/88840928884092Causes and Clinical Characteristics of Small Bowel Bleeding in Northern VietnamCong Long Nguyen0Khac Khiem Pham1Canh Hiep Nguyen2Hoang Nam Nguyen3Tran Tien Dao4Hoai Nam Nguyen5The Phuong Nguyen6Van Tuyen Pham7Tuan Thanh Nguyen8Anh Tuan Vu9Truong Khanh Vu10Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamPathology Center, Bach Mai Hospital, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamPathology Center, Bach Mai Hospital, Hanoi, VietnamPathology Center, Bach Mai Hospital, Hanoi, VietnamSchool of Chemical Engineering, Hanoi University of Science and Technology, Hanoi, VietnamDepartment of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, VietnamAim. Causes, clinical features, and diagnostic approaches for small bowel (SB) bleeding were analyzed to derive recommendations in dealing with this clinical condition. Methods. We included 54 patients undergoing surgical treatment for SB bleeding, from January 2009 to December 2019. Detailed clinical data, diagnosis procedures, and causes of bleeding were collected. Results. Among 54 cases with SB bleeding, the most common causes were tumors (64.8%), followed by angiopathy (14.8%), ulcers (9.3%), diverticula (5.6%), tuberculosis (3.7%), and enteritis (1.9%). Most tumors (32/35 cases, 91.4%) and vascular lesions (8/8 cases, 100%) were located in the jejunum. The incidence of tumors was higher in the older (30/41 cases, 73.1%) than that in patients younger than 40 years of age (5/13 cases, 38.5%, P<0.01). Common initial findings were melena (68.5%) and hematochezia (31.5%). The overall diagnostic yield of computed tomographic enterography (CTE) was 57.4% (31/54 cases), with the figures for tumors, vascular lesions, and inflammatory lesions being 71.4% (25/35 cases), 62.5% (5/8 cases), and 12.5% (1/8 cases), respectively. Double-balloon enteroscopy (DBE) definitively identified SB bleeding sources in 16/22 (72.7%) patients. Conclusion. Tumors, angiopathy, ulcers, and diverticula were the most common causes of SB bleeding in Northern Vietnamese population. CTE has a high detection rate for tumors in patients with SB bleeding. CTE as a triage tool may identify patients before double-balloon enteroscopy because of the high prevalence of SB tumors.http://dx.doi.org/10.1155/2020/8884092 |
| spellingShingle | Cong Long Nguyen Khac Khiem Pham Canh Hiep Nguyen Hoang Nam Nguyen Tran Tien Dao Hoai Nam Nguyen The Phuong Nguyen Van Tuyen Pham Tuan Thanh Nguyen Anh Tuan Vu Truong Khanh Vu Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam Canadian Journal of Gastroenterology and Hepatology |
| title | Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam |
| title_full | Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam |
| title_fullStr | Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam |
| title_full_unstemmed | Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam |
| title_short | Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam |
| title_sort | causes and clinical characteristics of small bowel bleeding in northern vietnam |
| url | http://dx.doi.org/10.1155/2020/8884092 |
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