Kurygin A A, Baranchuk V N, Smirnov A D
Khirurgiia (Mosk). 1991 Apr(4):43-5.
Among 5,190 patients with gastrointestinal hemorrhage in 14 (0.27%) the bleeding was caused by tumor of the small intestine. The success of recognition of tumors of the small intestine complicated by bleeding is determined to a great measure by the sequence of the diagnostic procedures. It is most rational to begin the examination with endoscopy of the stomach and duodenum. In the absence of abnormalities in these organs rectosigmoidoscopy or colonoscopy is undertaken next. If the source of the bleeding is not detected in this case, then the small intestine is examined by means of probe radioenterography. During the operation, at the peak of bleeding, the authors search for its source along the "track" of blood by palpating the small intestine.
在5190例胃肠道出血患者中,14例(0.27%)出血由小肠肿瘤引起。小肠肿瘤合并出血的诊断成功率在很大程度上取决于诊断程序的顺序。最合理的检查顺序是先进行胃和十二指肠内镜检查。如果这些器官未发现异常,接下来进行直肠乙状结肠镜检查或结肠镜检查。如果在这种情况下仍未检测到出血源,则通过探针放射性小肠造影检查小肠。在手术过程中,在出血高峰期,作者通过触摸小肠沿着血液“轨迹”寻找出血源。