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Revista Colombiana de Gastroenterologia

Print version ISSN 0120-9957


SANDOVAL RIVEROS, Carmenza; LUQUEZ MINDIOLA, Adán; MARULANDA FERNANDEZ, Hernando  and  OTERO REGINO, William. Small Bowel Bleeding: Approach and Treatment. Rev Col Gastroenterol [online]. 2017, vol.32, n.3, pp.245-257. ISSN 0120-9957.

Intestinal lesions that were previously inaccessible can now be identified. The most important new diagnostic tool is the endoscopic videocapsule because of its high negative predictive value. With advances in endoscopic methods, the classification of gastrointestinal bleeding has changed so that definition of occult and obscure bleeding that previously included bleeding originating in the small intestine has been relegated to cases for which the origin cannot be identified after performing esophagogastroduodenoscopy, colonoscopy and studies of the middle digestive tract such as endoscopic videocapsule, push enteroscopy, deep enteroscopy , intraoperative enteroscopy, MRI enterography, CT enterography, angiography and scintigraphy.

Keywords : Small intestinal hemorrhage; obscure gastrointestinal bleeding; endoscopic videocapsule; enteroscopy; enterography.

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