{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,13]],"date-time":"2026-07-13T01:28:40Z","timestamp":1783906120228,"version":"3.55.0"},"reference-count":54,"publisher":"Wiley","license":[{"start":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T00:00:00Z","timestamp":1606694400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Canadian Journal of Gastroenterology and Hepatology"],"published-print":{"date-parts":[[2020,11,30]]},"abstract":"<jats:p>Aim. Causes, clinical features, and diagnostic approaches for small bowel (SB) bleeding were analyzed to derive recommendations in dealing with this clinical condition. Methods. We included 54 patients undergoing surgical treatment for SB bleeding, from January 2009 to December 2019. Detailed clinical data, diagnosis procedures, and causes of bleeding were collected. Results. Among 54 cases with SB bleeding, the most common causes were tumors (64.8%), followed by angiopathy (14.8%), ulcers (9.3%), diverticula (5.6%), tuberculosis (3.7%), and enteritis (1.9%). Most tumors (32\/35 cases, 91.4%) and vascular lesions (8\/8 cases, 100%) were located in the jejunum. The incidence of tumors was higher in the older (30\/41 cases, 73.1%) than that in patients younger than 40 years of age (5\/13 cases, 38.5%, <jats:inline-formula>\n                     <a:math xmlns:a=\"http:\/\/www.w3.org\/1998\/Math\/MathML\" id=\"M1\">\n                        <a:mi>P<\/a:mi>\n                        <a:mo>&lt;<\/a:mo>\n                        <a:mn>0.01<\/a:mn>\n                     <\/a:math>\n                  <\/jats:inline-formula>). Common initial findings were melena (68.5%) and hematochezia (31.5%). The overall diagnostic yield of computed tomographic enterography (CTE) was 57.4% (31\/54 cases), with the figures for tumors, vascular lesions, and inflammatory lesions being 71.4% (25\/35 cases), 62.5% (5\/8 cases), and 12.5% (1\/8 cases), respectively. Double-balloon enteroscopy (DBE) definitively identified SB bleeding sources in 16\/22 (72.7%) patients. Conclusion. Tumors, angiopathy, ulcers, and diverticula were the most common causes of SB bleeding in Northern Vietnamese population. CTE has a high detection rate for tumors in patients with SB bleeding. CTE as a triage tool may identify patients before double-balloon enteroscopy because of the high prevalence of SB tumors.<\/jats:p>","DOI":"10.1155\/2020\/8884092","type":"journal-article","created":{"date-parts":[[2020,11,30]],"date-time":"2020-11-30T12:50:12Z","timestamp":1606740612000},"page":"1-7","source":"Crossref","is-referenced-by-count":2,"title":["Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam"],"prefix":"10.1155","volume":"2020","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5275-9014","authenticated-orcid":true,"given":"Cong Long","family":"Nguyen","sequence":"first","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Khac Khiem","family":"Pham","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Canh Hiep","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pathology Center, Bach Mai Hospital, Hanoi, Vietnam"},{"name":"Department of Human Pathology, Kanazawa University Graduate School of Medicine, Takaramachi 13-1, Kanazawa, Japan"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoang Nam","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tran Tien","family":"Dao","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hoai Nam","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"The Phuong","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Van Tuyen","family":"Pham","sequence":"additional","affiliation":[{"name":"Pathology Center, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tuan Thanh","family":"Nguyen","sequence":"additional","affiliation":[{"name":"Pathology Center, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5486-3990","authenticated-orcid":true,"given":"Anh Tuan","family":"Vu","sequence":"additional","affiliation":[{"name":"School of Chemical Engineering, Hanoi University of Science and Technology, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Truong Khanh","family":"Vu","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology & Hepatology, Bach Mai Hospital, Hanoi, Vietnam"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","reference":[{"key":"1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.28.7.869"},{"key":"2","first-page":"419","article-title":"Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study","volume":"92","author":"G. 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