Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10 year retrospective survey

BMC Gastroenterology

Yan-jing Gao³  Hai-ying Chen³  Sheng-an Yuan⁸  Qing-cai Wang⁷  Kai-tong Jiang²  Chang-chun Jing⁵  Jian-chao Sui⁶  Yong Yuan⁴  Hui-ya Liu⁹  Da-lei Jiang¹ 

[1] Department of Gastroenterology, Qing-Dao Municipal Hospital, Qing-Dao, China;Department of Gastroenterology, Lin-Yi People's Hospital, Lin-Yi, China;Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China;The Medical Department The Affiliated Hospital of Medical College, Qingdao University, Qingdao, China;Department of Gastroenterology, Liao-cheng Second People's Hospital, Liao-cheng, China;Department of Gastroenterology, Wen-Deng People's Hospital, Wen-Deng, China;Department of Gastroenterology, Tai-An People Hospital, Tai-An, China;Department of Gastroenterology, Zi-bo People's Hospital, Zi-bo, China;Department of Gastroenterology, He-Ze Municipal Hospital, He-Ze, China

关键词: Jejunoileal hemorrhage;    Diagnosis;    Clinical features;    Cause;   

Others  :  1121899
DOI  :  10.1186/1471-230X-12-101

 received in 2012-02-11, accepted in 2012-07-26,  发布年份 2012

【 摘 要 】

Background

A retrospective study was performed to assess the causes, diagnostic methods for, and clinical features of, jejunoileal hemorrhage in Shandong province, China and to derive recommendations for management of this condition from these data.

Methods

We performed a retrospective systematic collection of data from between January 1999 and December 2008 in seven cities in Shandong province, China, identified 72 patients with jejunoileal hemorrhage and analyzed the relevant clinical data.

Results

Overall, tumors were the most common cause of jejunoileal hemorrhage (42 patients, 58.3%). The causes of this condition were significantly different (P < 0.05) in male and female patients. In male patients, the commonest factors were tumor (52.2%), enteritis (17.4%) and angiopathy (15.2%). However, in female patients, tumors accounted for a greater proportion of cases (18/26, 69.2%). In 38 cases (52.8%) the diagnosis was made by intraoperative enteroscopy or laparotomy, in 14 by capsule endoscopy and in the remainder by radiological methods. The most frequent presentation was melena (62.7%), followed by maroon stools (26.9%) and hematochezia (9.0%). Of the 72 patients,laparotomy is the main treatment method.

Conclusion

Tumor, enteritis and angiopathy and diverticular disease are the most common causes of jejunoileal hemorrhage in Shandong province, China. The main clinical manifestations are bloody stools, most commonly in the form of melena, with or without abdominal pain. We recommend that female patients over the age of 40 with jejunoileal hemorrhage accompanied by abdominal pain should undergo urgent further assessment because of the strong probability of jejunoileal tumor.

【 授权许可】

   
2012 Jiang et al.; licensee BioMed Central Ltd.

【 图 表 】

Figure 1 .

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