Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis
نویسندگان
چکیده
منابع مشابه
Management of obscure occult gastrointestinal bleeding: a cost-minimization analysis.
BACKGROUND & AIMS Capsule endoscopy (CE) and double-balloon enteroscopy (DBE) allow complete small-bowel examination but consume additional health care resources. A cost-minimization analysis determined the optimal initial management strategy for obscure occult gastrointestinal bleeding (OGIB). METHODS We compared 5 strategies: initial small-bowel follow-through, enteroclysis, push enteroscop...
متن کاملA new view of occult and obscure gastrointestinal bleeding.
Occult gastrointestinal bleeding usually is discovered when fecal occult blood test results are positive or iron deficiency anemia is detected. Fecal occult blood testing methods vary, but all have limited sensitivity and specificity. The initial work-up for occult bleeding typically involves colonoscopy or esophagogastroduodenoscopy, or both. In patients without symptoms indicating an upper ga...
متن کاملRecurrent obscure gastrointestinal bleeding.
Routine diagnostic studies can locate the source of gastrointestinal bleeding in the vast majority of persons. In approximately 5 percent of persons, however, the source remains obscure despite sophisticated studies. Our inability to localize the source of bleeding in these individuals illustrates the limits of available diagnostic technology. In an elderly patient who requires repeated diagnos...
متن کاملCost-effectiveness analysis of management strategies for obscure GI bleeding.
BACKGROUND AND AIMS Of patients who are seen with GI hemorrhage, approximately 5% will have a small-bowel source. Management of these patients entails considerable expense. We performed a decision analysis to explore the optimal management strategy for obscure GI hemorrhage. METHODS We used a cost-effectiveness analysis to compare no therapy (reference arm) to 5 competing modalities for a 50-...
متن کاملObscure Gastrointestinal Bleeding
Elderly (>65 years) Middle‐Aged (41‐65 years) Young Adult (17‐40 years) Vascular anomalies Small intestinal ulcer NSAID enteropathy Small intestinal tumours Non‐specific enteritis Vascular anomalies Small intestinal tumours Non‐specific enteritis Small intestinal ulcer Crohn’s disease Small intestinal tumours Meckel’s diverticulum Non‐specific enteritis Dieulafoy’s lesion Vascular anomalies Tab...
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ژورنال
عنوان ژورنال: Clinical Gastroenterology and Hepatology
سال: 2008
ISSN: 1542-3565
DOI: 10.1016/j.cgh.2008.02.033