{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,6]],"date-time":"2025-12-06T04:53:30Z","timestamp":1764996810760},"reference-count":37,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[1983,8,1]],"date-time":"1983-08-01T00:00:00Z","timestamp":428544000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[1983,8,1]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Seventeen patients with chronic obscure gastrointestinal bleeding presenting over a 5-year period are described. While representing only 6 per cent of the total number of admissions due to gastrointestinal haemorrhage they required a disproportionate amount of medical attention, including 67 admissions, 73 radiological and 56 endoscopic procedures and transfusion of a total of 198 units of blood. The diagnoses included 5 cases of recurrent acute upper gastrointestinal erosions, 7 small bowel abnormalities and 4 colonic lesions, with 1 patient undiagnosed. Eight arteriovenous malformations (AVM) were demonstrated angiographically and one Meckel's diverticulum identified by a 99Tcm pertechnetate scan. There were 5 cases in which laparotomy yielded the final diagnosis and in one of these peroperative endoscopy of the small bowel was required. On the basis of our experience and a review of other series, a logical plan of investigation is described for such difficult cases.<\/jats:p>","DOI":"10.1002\/bjs.1800700812","type":"journal-article","created":{"date-parts":[[2007,3,2]],"date-time":"2007-03-02T23:45:45Z","timestamp":1172879145000},"page":"489-493","source":"Crossref","is-referenced-by-count":81,"title":["Recurrent gastrointestinal bleeding of obscure origin: Report of 17 cases and a guide to logical management"],"prefix":"10.1093","volume":"70","author":[{"given":"R C","family":"Spiller","sequence":"first","affiliation":[{"name":"Department of Gastroenterology, Charing Cross Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"R A","family":"Parkins","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Charing Cross Hospital , London"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[1983,8,1]]},"reference":[{"key":"2024092715181358700_bib1","doi-asserted-by":"crossref","first-page":"655","DOI":"10.1136\/bmj.3.5882.655","article-title":"Epidemiology and course of gastrointestinal haemorrhage in North East Scotland","volume":"3","author":"Johnston","year":"1973","journal-title":"Br. 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