CERTIFICATE

IMPACT FACTOR 2021

Subject Area

  • Life Sciences / Biology
  • Architecture / Building Management
  • Asian Studies
  • Business & Management
  • Chemistry
  • Computer Science
  • Economics & Finance
  • Engineering / Acoustics
  • Environmental Science
  • Agricultural Sciences
  • Pharmaceutical Sciences
  • General Sciences
  • Materials Science
  • Mathematics
  • Medicine
  • Nanotechnology & Nanoscience
  • Nonlinear Science
  • Chaos & Dynamical Systems
  • Physics
  • Social Sciences & Humanities

Why Us? >>

  • Open Access
  • Peer Reviewed
  • Rapid Publication
  • Life time hosting
  • Free promotion service
  • Free indexing service
  • More citations
  • Search engine friendly

Clinical and investigative profile of small bowel bleeding in south India

Author: 
Dr. Lrs Girinadh, Ravi Shankar, T., Dr. Sachin Kumar, V. and Dr. Sravan Kumar, K.
Subject Area: 
Health Sciences
Abstract: 

Background: Small bowel bleeding refers to patients presenting with a source of bleeding identified in the small intestine. It accounts for only 5-10% of all patients presenting with gastrointestinal bleeding. Patients present with either overt bleeding or occult bleeding manifesting as iron deficiency anaemia. Various modalities are used to diagnose the cause of small bowel bleeding which include imaging, video capsule endoscopy, enteroscopy. Objectives : Data on the small bowel bleeding in India is sparse. The aim of the present study is to identify the clinical profile of patients presenting with small bowel bleed and to evaluate the diagnostic accuracy of various modalities. Methods: Present study is prospective observational study conducted at teritiary care hospital in South India Results: Overall 56 patients with potential small bowel bleed were included in the study. 34(60%) patients presented with overt small bowel bleed and the remaining 22(40%) patients presented with occult small bowel bleed. 50 patients underwent capsule endoscopy and the mean capsule time was 10hr 1min ± 1hr 7min. Capsule endoscopic findings include vascular lesions in 10 (20%) patients, tumor in 4(8%), worm infestation in 4 (8%) patients, ulceration in 10(20%) patients. Balloon enteroscopy was performed in 39(70%) patients. Balloon enteroscopy findings include vascular lesions in 10 patients, crohns like picture in 8 patients, NSAIDS induced ulcers in 7 patients. Diagnostic yield of capsule endoscopy was 76% and enteroscopy was 77%. Overall 40 patients out of 56 have been identified with definite source of small bowel bleeding and were subjected to therapy. Out of 40 patients 20 had endotherapy, 9 patients underwent surgery, 6 patients diagnosed as crohns, 2 patients diagnosed as small bowel tuberculosis and remaining on conservative therapy. Conclusions: Small bowel bleeding accounts for 5-10% of GI bleeding. Contrary to western population infections are common cause, patients are two decades younger and overt GI bleeding was more common than occult bleeding. The diagnostic yield of capsule endoscopy in the present study is 76%. In the present study diagnostic yield of SBE/DBE combined was 77% and successful therapeutic intervention was performed in 50% of patients. Enteroscopy is slightly better than VCE and therapeutic intervention can be performed. Present study the rebleeding rate is 18% at the end of one year follow up. To our knowledge this is the first study comparing VCE and DBE/SBE with followup for one year.

PDF file: 

CALL FOR PAPERS

 

ONLINE PAYPAL PAYMENT

IJMCE RECOMMENDATION

Advantages of IJCR

  • Rapid Publishing
  • Professional publishing practices
  • Indexing in leading database
  • High level of citation
  • High Qualitiy reader base
  • High level author suport

Plagiarism Detection

IJCR is following an instant policy on rejection those received papers with plagiarism rate of more than 20%. So, All of authors and contributors must check their papers before submission to making assurance of following our anti-plagiarism policies.

 

EDITORIAL BOARD

Dr. Swamy KRM
India
Dr. Abdul Hannan A.M.S
Saudi Arabia.
Luai Farhan Zghair
Iraq
Hasan Ali Abed Al-Zu’bi
Jordanian
Fredrick OJIJA
Tanzanian
Firuza M. Tursunkhodjaeva
Uzbekistan
Faraz Ahmed Farooqi
Saudi Arabia
Eric Randy Reyes Politud
Philippines
Elsadig Gasoom FadelAlla Elbashir
Sudan
Eapen, Asha Sarah
United State
Dr.Arun Kumar A
India
Dr. Zafar Iqbal
Pakistan
Dr. SHAHERA S.PATEL
India
Dr. Ruchika Khanna
India
Dr. Recep TAS
Turkey
Dr. Rasha Ali Eldeeb
Egypt
Dr. Pralhad Kanhaiyalal Rahangdale
India
DR. PATRICK D. CERNA
Philippines
Dr. Nicolas Padilla- Raygoza
Mexico
Dr. Mustafa Y. G. Younis
Libiya
Dr. Muhammad shoaib Ahmedani
Saudi Arabia
DR. MUHAMMAD ISMAIL MOHMAND
United State
DR. MAHESH SHIVAJI CHAVAN
India
DR. M. ARUNA
India
Dr. Lim Gee Nee
Malaysia
Dr. Jatinder Pal Singh Chawla
India
DR. IRAM BOKHARI
Pakistan
Dr. FARHAT NAZ RAHMAN
Pakistan
Dr. Devendra kumar Gupta
India
Dr. ASHWANI KUMAR DUBEY
India
Dr. Ali Seidi
Iran
Dr. Achmad Choerudin
Indonesia
Dr Ashok Kumar Verma
India
Thi Mong Diep NGUYEN
France
Dr. Muhammad Akram
Pakistan
Dr. Imran Azad
Oman
Dr. Meenakshi Malik
India
Aseel Hadi Hamzah
Iraq
Anam Bhatti
Malaysia
Md. Amir Hossain
Bangladesh
Ahmet İPEKÇİ
Turkey
Mirzadi Gohari
Iran