小肠出血诊断和治疗的临床方法。
Clinical approach to the diagnosis and management of small bowel bleeding.
发表日期：2024 Sep 26
作者：
Sanket Bhattarai, Sandra Algarin Perneth, Huber Padilla Zambrano, Cadman L Leggett
来源：
MINERVA MEDICA
摘要：
小肠出血 (SBB) 的诊断和治疗可能是一个临床挑战。视频胶囊内窥镜、球囊辅助肠镜和多相计算机断层扫描的进步允许定位和治疗干预。 SBB 的病因包括血管、肿瘤和炎症，与年龄和合并症有关。本综述重点介绍了描述 SBB 的术语，提供了出血病因的鉴别诊断，并总结了治疗这种情况的临床方法。
The diagnosis and management of small bowel bleeding (SBB) can be a clinical challenge. Advances in video capsule endoscopy, balloon-assisted enteroscopy, and multiphasic computed tomography allow for localization and therapeutic intervention. Etiologies of SBB including vascular, neoplastic, and inflammatory conditions are associated with age and comorbidities. The present review highlights terminologies that describe SBB, provides a differential diagnosis for bleeding etiologies, and summarizes a clinical approach to managing this condition.