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2001, Number 4

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Rev Med Hosp Gen Mex 2001; 64 (4)

Unknown digestive haemorrhage. A diagnostic and therapeutic challenge

Abdo FJM
Full text How to cite this article

Language: Spanish
References: 8
Page: 234-239
PDF size: 116.34 Kb.


Key words:

Occult digestive haemorrhage, unknown digestive haemorrhage.

ABSTRACT

The digestive haemorrhage tract represented a diagnostic and therapeutic challenge. In the most time the cause of haemorrhage is located in proximal digestive tract or colon and the endoscopic method is useful to diagnostic. Only in 15% of the times the haemorrhage is unknown and often are find in small intestine. The diagnosis is possible to make angiography, gammagraphy with Tc99 erythrocyte marked or enteroscopy. The most common causes of unknown haemorrhage are neoplasia, acid peptic disease, diverticulum and angiodysplasia. The actual endoscopic or radiologic therapeutic technic obtain good results in the control of the haemorrhage areas.


REFERENCES

  1. Salazar R. Hemorragia gastrointestinal. Diagnóstico y tratamiento. México: JGH Editores, Editorial Ciencia y Cultura Latinoamericana, 1999.

  2. Alcántara R, Kimura Y. Angiografía selectiva. Hemorragia gastrointestinal. Diagnóstico y tratamiento. México: JGH Editores, 1999: 159-169.

  3. Ettorre GC, Francioso G, Garriba AP et al. Helical CT. Angiography in Gastrointestinal Bleeding of obscure origin. AJR 1997; 168: 727-30.

  4. Serna J. Gammagrafía para detección de sangrado de tubo digestivo. Hemorragia gastrointestinal. Diagnóstico y tratamiento. México: JGH Editores, 1999: 171-174.

  5. Cotton P, Williams C. Endoscopia del intestino delgado. Tratado práctico de endoscopia digestiva. Barcelona: Masson-Salvat, Ediciones Científicas y Técnicas, 1992: 201-204.

  6. Gay E, Fassler I. Valor clínico de la enteroscopia. Procedimientos endoscópicos en gastroenterología. México: Editorial Mipliformas. 1998: 341-349.

  7. Shinya H. McSerry Ch. Endoscopia del intestino delgado. Clin Quirurg Norteam 1982 (5): 827-830.

  8. Abdo JM. Tratamiento de la hemorragia no variceal del tubo digestivo. Rev Gastroenterol de Mex 1998; 63 (4) supl 1: 38-44.




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C?MO CITAR (Vancouver)

Rev Med Hosp Gen Mex. 2001;64