Haemorrhage into the Small Bowel from the Aspect of a Surgical Department

Overview

Haemorrhage into the gastrointestinal tract is a frequent form of acute abdomen. The serious character of its cause and the consequences of blood loss call, as soon as possible, for an accurate diagnosis and assessment of the site of haemorrhage with subsequent causal treatment. The authors emphasize comprehensive therapy and interdisciplinary collaboration in particular of the surgeon, endoscopist, radiologist, gastroenterologist, possibly haematologist. They outline a rational diagnostic and therapeutic procedure with regard to the availability and yield of different examination methods. Based on several case-histories they illustrate their diagnostic contribution. From the surgical aspect they emphasize the importance of peroperative enteroscopy by means of a classical gastrofibroscope inserted via the gastrotomy or enterotomy.

Key words:
gastrointestinal haemorrhage - small intestine - endoscopy - diagnosis of haemorrhage - therapy - enteroscopy - peroperative enteroscopy