Mistakes in the Management of Small Bowel Bleeding
Objective: This lecture addresses common mistakes made in the management of small bowel bleeding (SBB), specifically focusing on the crucial steps to be taken before considering advanced endoscopic procedures like deep enteroscopy or capsule endoscopy. The lecture emphasizes the importance of thorough initial evaluation and the potential for missed lesions within the reach of standard EGD and colonoscopy.
About the Lecture:
Key Highlights:
Clear explanation of why small bowel endoscopy presents unique challenges.
Discussion of mid-GI bleeding (mid-GIB) and its diagnostic criteria.
Presentation of data showing the prevalence of lesions reachable by standard endoscopy often missed on initial examination.
Review of specific lesions and conditions frequently overlooked in the stomach and colon.
Highlight of other causes of anemia and obscure GI bleeding that may mimic SBB.
Practical take-home message: repeat EGD and colonoscopy before proceeding with advanced small bowel evaluation.