Pérez-Cuadrado-Robles Enrique, Pérez-Cuadrado-Martínez Enrique
Small Bowel Unit, Gastroenterology Department, Morales Meseguer Hospital, Murcia, Spain.
GE Port J Gastroenterol. 2015 Dec 18;23(2):84-90. doi: 10.1016/j.jpge.2015.11.002. eCollection 2016 Mar-Apr.
There is no consensus on the timing and management of emergency overt obscure gastrointestinal bleeding. Emergency capsule endoscopy and balloon-assisted enteroscopy have a high diagnostic and therapeutic yield in these situations. Most lesions detected by small bowel endoscopy are amenable to endoscopic haemostasis, although some lesions still require surgery or interventional radiology. The management of these patients is varied, and doubt persists about which technique should be preferred as first-line treatment. This narrative review analyses the usefulness and impact of small bowel endoscopic techniques in the emergency setting for severe overt obscure gastrointestinal bleeding.
对于急诊显性不明原因胃肠道出血的时机和管理尚无共识。在这些情况下，急诊胶囊内镜和气囊辅助小肠镜检查具有较高的诊断和治疗价值。小肠内镜检查发现的大多数病变都适合内镜止血，尽管有些病变仍需要手术或介入放射治疗。这些患者的管理方式各不相同，对于哪种技术应作为一线治疗首选仍存在疑问。这篇叙述性综述分析了小肠内镜技术在急诊严重显性不明原因胃肠道出血中的实用性和影响。
