Antes G, Neher M, Hiemeyer V, Burger A
Department of Radiology, Klinikum Kempten-Oberallgäu, Germany.
Eur Radiol. 1996;6(6):851-4. doi: 10.1007/BF00240688.
The purpose of this work was to assess retrospectively the yield of enteroclysis in 124 unselected patients presenting with obscure gastrointestinal bleeding. Of 1000 consecutive patients who were examined by enteroclysis 124 presented with occult gastrointestinal bleeding. A total of 61 patients with an unknown source of bleeding at the time of discharge, but with established gastrointestinal bleeding, were followed up by questionnaire to correlate the initial degree of bleeding with the incidence of recurrence of bleeding. Enteroclysis was normal in 109 cases. An abnormality was found subsequently be the cause of bleeding in the small intestine in 16 patients. Enteroclysis was positive in 14 cases, negative in 2 and false positive in 1. There was positive correlation between the initial degree of haemorrhage and the rate of recurrence. Enteroclysis detected the cause in 11% of patients who presented with bleeding of unknown origin. In patients with minor haemorrhage there was no recurrence of bleeding in most cases.
本研究旨在回顾性评估124例未经挑选的不明原因胃肠道出血患者的小肠灌肠造影检查结果。在连续接受小肠灌肠造影检查的1000例患者中，有124例出现隐匿性胃肠道出血。共有61例患者在出院时出血原因不明，但已确诊为胃肠道出血，通过问卷调查对其进行随访，以将初始出血程度与出血复发率相关联。109例小肠灌肠造影检查结果正常。随后发现16例患者小肠出血的原因是存在异常。小肠灌肠造影检查结果为阳性的有14例，阴性的2例，假阳性的1例。出血初始程度与复发率之间存在正相关。小肠灌肠造影检查在11%不明原因出血的患者中检测到了出血原因。在轻度出血的患者中，大多数情况下没有出血复发。
