ĐẶC ĐIỂM LÂM SÀNG, CẬN LÂM SÀNG VÀ KẾT QUẢ NỘI SOI VIÊN NANG Ở NGƯỜI BỆNH CHẢY MÁU TIÊU HÓA NGHI TỪ RUỘT NON

Abstract

Objectives: Description of the clinical and subclinical characteristics and capsule endoscopy results of obscure gastrointestinal bleeding patients. Subjects and methods: A cross-sectional descriptive study on 51 patients, who diagnosed with obscure gastrointestinal bleeding, treated at 103 Military hospital and several hospitals in Hanoi from 9/2019 to 8/2024. Results: Mean age 60.6 ± 15.9, male ratio 80.4%, and male/female ratio 4.1/1. All patients had symptoms of black stools (100.0%). Severe anemia 11.8%, moderate anemia 49.0%. Capsule endoscopy results: Small intestinal bleeding 62.8%, no lesions detected 29.4%, 7.8% undefined (blood in the small intestine but no lesions). Causes of small intestinal bleeding: small intestinal ulcers 34.4%, vascular lesions 18.8%, small intestinal inflammation 15.6%, portal hypertension enteropathy 15.6%, small intestinal polyps 9.4%, small intestine diverticular bleeding 3.1%, Crohn's disease 3.1%. Estimated location of lesions: jejunum 25.0%, ileum 28.1%, jejunum and ileum 43.8%, duodenum 3.1%. Conclusion: Capsule endoscopy had high value in diagnosing obscure gastrointestinal bleeding. Some common small intestinal diseases causing obscure gastrointestinal bleeding identified, including small intestinal ulcers, vascular lesions, small intestinal inflammation and portal hypertension.