©The Author(s) 2016.
World J Gastroenterol. May 14, 2016; 22(18): 4559-4566
Published online May 14, 2016. doi: 10.3748/wjg.v22.i18.4559
Published online May 14, 2016. doi: 10.3748/wjg.v22.i18.4559
Table 3 Clinical course and management of left ventricular assist device recipients with positive video capsule endoscopy studies
| No. | Age (yr) and Sex | Presentation | Endoscopic findings and interval prior to VCE (d) | VCE findings | Endoscopic findings and interval after VCE (d) | Recurrent bleeding and interval after VCE (mo) | Management for recurrent bleeding |
| 1 | 62 M | Anemia | Rectal polyp (2) | Gastric ulcer | N/A | Melena (21) | EGD: GU with visible vessel s/p hemoclip |
| 2 | 57 M | Anemia | Gastritis, colonic polyp (24) | Duodenal angiodysplasia | PE: Gastritis (2) | No | N/A |
| 3 | 73 M | Melena | Gastric and jejunal angiodysplasia (4) | Small bowel angiodysplasia | N/A | Melena (1.7) | PE: Bleeding jejunal angiodysplasia s/p APC |
| 4 | 53 F | Melena | Blood in the terminal ileum (0) | Small bowel angiodysplasia | PE: Bleeding jejunal angiodysplasia s/p APC + hemoclip (2) | No | N/A |
| 5 | 61 M | Anemia | Colonic diverticulosis, hemorrhoids (3) | Small bowel angiodysplasia | N/A | No | N/A |
| 6 | 53 M | Anemia | Duodenitis (4) | Stomach and small bowel bleeding | PE: Clean base GU (2) | Melena (0.5) | PE: Gastritis and fresh blood in duodenum without lesions identified |
| 7 | 70 F | Melena | Gastric angiodysplasia s/p APC (3) | Small bowel bleeding | N/A | Melena (11.4) | PE: DLBCL of stomach |
| 8 | 61 F | Hematochezia | Sigmoid angiodysplasia s/p APC (2) | Small bowel bleeding | PE: Normal; SBE: Bleeding jejunal angiodysplasia s/p APC+ hemoclip (2) | Hematochezia (11.2) | PE: Gastritis; C-scope: Bleeding sigmoid angiodysplasia s/p APC + hemoclip |
| 9 | 52 M | Melena | Colonic diverticulosis, hemorrhoids (1) | Small bowel bleeding | N/A | No | N/A |
| 10 | 59 M | Melena | Duodenal angiodysplasia s/p APC and hemoclip (5) | Small bowel bleeding | PE: Bleeding jejunal angiodysplasia s/p heater probe + APC; SBE: Nonbleeding jejunal angiodysplasia s/p APC (6) | Anemia requiring transfusion (0.7) | C-scope: Bleeding Cecal angiodysplasia s/p hemoclip |
| 11 | 75 M | Melena | Colonic angiodysplasia s/p hemoclip (6) | Small bowel bleeding | PE: Gastric Dieulafoy’s lesion s/p hemoclip; SBE: Bleeding jejunal angiodysplasia s/p APC + hemoclip (2) | No | N/A |
| 12 | 76 F | Melena | Normal (4) | Colonic bleeding | N/A | No | N/A |
- Citation: Amornsawadwattana S, Nassif M, Raymer D, LaRue S, Chen CH. Video capsule endoscopy in left ventricular assist device recipients with obscure gastrointestinal bleeding. World J Gastroenterol 2016; 22(18): 4559-4566
- URL: https://www.wjgnet.com/1007-9327/full/v22/i18/4559.htm
- DOI: https://dx.doi.org/10.3748/wjg.v22.i18.4559