Materials and methods
General information
Instruments
Preparation before examination
Method for enteroscopy
Abdominal contrast-enhanced CT examination
Analysis of CT images
Results
Small intestinal bleeding detected with double-balloon enteroscopy
Pt. no. | Age/sex (years) | Symptom | Enteroscopy through mouth and/or anus | Detection of double-balloon enteroscopy | Detection of abdominal vascular-enhanced CT | Surgical detection and treatment measure |
---|---|---|---|---|---|---|
1 | 42/M | Dark stool, fatigue | Mouth | Jejunal vascular malformation bleeding | Jejunal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation, no other lesion was found |
2a
| 47/M | Dark stool | Mouth and anus | Angioma was found at jejunum through mouth without active bleeding, no lesion was found through auns | Ileal vascular malformation, which was not found with enteroscopy | Angioma was found in the jejunum which was the same as enteroscopy, vascular malformation was found in the ileum which corresponded to the detection of CT, segmental resection was done for angioma and vascular malformation |
3a
| 62/F | Dark stool, fatigue | Mouth and anus | Jejunal vascular malformation without active bleeding | Jejunal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation, no other lesion was found |
4 | 38/M | Dark stool | Anus | Ileal vascular malformation bleeding | Ileal vascular malformation at two sites, the other was not observed with enteroscopy | Same result with CT, segmental resection was done for vascular malformation |
5 | 48/M | Dark stool | Mouth | Jejunal vascular malformation bleeding | Jejunal and ileum vascular malformation | Same result with CT, jejunal vascular malformation was found and segmental resection was done, there was also a vascular malformation in the ileum, it was segmentally resected |
6a
| 59/F | Dark stool | Mouth and anus | Jejunal vascular malformation was found through mouth without active bleeding, no lesion was found through anus | Jejunal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation |
7 | 62/M | Hematochezia | Anus | Ileal vascular malformation bleeding | Ileal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation |
8 | 35/F | Dark stool | Mouth and anus | Ileal vascular malformation bleeding | Ileal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation |
9 | 52/M | Hematochezia | Anus | Ileal vascular malformation bleeding | Ileal and jejunum vascular malformation | Same result with CT, Ileum vascular malformation was found and segmental resection was done, there was also a vascular malformation in the jejunum, it was segmentally resected |
10 | 65/M | Dark stool | Mouth and anus | Jejunal vascular malformation bleeding | Jejunal vascular malformation | Same result with enteroscopy and CT, segmental resection was done for vascular malformation |