Which procedures may be helpful in detecting undiagnosed massive gastrointestinal (GI) bleeding?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Intraoperative esophagogastroduodenoscopy (EGD), surgeon-guided enteroscopy, and colonoscopy may be helpful in detecting undiagnosed massive GI bleeding. Depending on the availability of local resources and the patient's condition, it may sometimes be better to proceed with subtotal colectomy with distal ileal inspection than to try to perform these tests, particularly if the surgeon is not privileged or comfortable with endoscopy.


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