Black stool and anemia may cause trouble due to bleeding from small intestinal ulcers.

Small intestinal diseases are difficult to check! Pay attention to defecation discoloration

1 year A woman who is nearly 70 years old has a long history of anemia. Recently, they have passed out a lot of black stool and fainted. The examination results showed that hemoglobin was too low, and the doctor suspected that gastrointestinal bleeding caused anemia. Finally, a single balloon-assisted enteroscopy was performed, and finally it was diagnosed as ulcer bleeding at the ileocecal valve at the end of the small intestine, which was a benign lesion. After taking ulcer medicine, the patient no longer has black stool, and hemoglobin gradually rises to the normal range.

Traditional colonoscopy can only see part of the small intestine.

Wu, a physician of gastroenterology and hepatobiliary medicine at MacKay Memorial Hospital in Hsinchu, explained that gastroscopy or colonoscopy with a length of 6 to 7 meters and a length of about 65,438+0 to 65,438+0.8 meters can only get part of the small intestine and cannot reach the deep part of the small intestine. The traditional way to examine the small intestine is push enteroscopy, which can only reach the proximal jejunum, while computed tomography and scanning images can only show large lesions, or can only be developed when there is a lot of bleeding in the lower part of the small intestine.

It is difficult to diagnose and treat small intestinal diseases, so small intestinal capsule endoscopy and balloon enteroscopy are used to improve the imaging examination of small intestine. Small intestine capsule endoscope is a kind of capsule with camera. After swallowing, the camera will shoot continuously in the gastrointestinal tract, and then check the lesion through the image. Although it is painless and non-invasive, it can complete the observation of the whole small intestine, but it is impossible to repeatedly observe the focus, slice the specimen or treat it immediately.

Balloon-assisted colonoscopy and synchronous treatment

Compared with capsule endoscopy, balloon enteroscopy can only diagnose. If lesions are found, they can be repeatedly observed, stopped bleeding, sliced and sampled, and tumors and polyps can also be directly removed. If surgery is needed, the focus can also be marked, which is convenient for surgeons to find. Although small intestinal bleeding only accounts for about 5% of the causes of gastrointestinal bleeding, when gastrointestinal diseases cannot be diagnosed by gastroscopy and colonoscopy, patients must be arranged for colonoscopy.

Dr. Wu reminded that the symptoms of small intestinal diseases include defecation habits or color changes, fatty diarrhea, unknown abdominal pain, and weight loss caused by malabsorption. It is easily confused with other gastrointestinal diseases. In the case that gastroscopy, colonoscopy, computed tomography, nuclear medicine and other examinations can not be diagnosed, balloon enteroscopy with both diagnosis and treatment can be said to be a sharp weapon for the diagnosis and treatment of small intestinal problems, hoping to benefit patients with small intestinal diseases and get rid of the dilemma of time-consuming diagnosis. (Article authorized to provide/Youhuo Health Network)

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