Clinical Analysis Of Small Intestinal Haemorrhage In 101 Cases

Objective: To study the diagnosis of small intestinal haemorrhage by the clinical analysis of small intestinal haemorrhage in 101 patients.Methods: 101 cases of small intestinal haemorrhage treated in our hospital from 1998—2004 were reviewed. The role of various diagnostic methods for small intestinal haemorrhage was confirmed by digital subtraction angiography(DSA),emission computed tomagraphy (ECT), double-contrast enteroclysis and surgery .Results: The most common disease of small intestine haemorrhage was tumor (57.4%), which consists of 17 cases of benign tumors and 41 cases of malignant tumors. Others were diverticulum(8.91%), intestinal tuberculosis(1.98%), ileotyphus(1.98%), acute hemorrhagic necrotizing enteritis(4.95%),superior mesenteric artery embolus(7.92%), intestinal allergic purpura (2.97%) , vascular malformation(6.93%), Crohndisease(6.93%), and intestinal corpus alienum(0.99%). Double-contrast enteroclysis(29.2%), ECT(33.3%), DSA(54.5%) and aparotomy were still the major diagnostic methods.Conclusions: The accuracy of capsule endoscope and DSA in diagnosing small intestinal hemorrhage was high. Malignant tumor was the most common disease which lead to small intestinal haemorrhage, others were diverticulum. More attention should be paid to the diagnosis of small intestine disease.