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Logo of bmcgastBioMed Centralsearchsubmit a manuscriptregisterthis articleBMC Gastroenterology
 
BMC Gastroenterol. 2012; 12: 101.
Published online Aug 6, 2012. doi:  10.1186/1471-230X-12-101
PMCID: PMC3457840
Analysis of the causes and clinical characteristics of jejunoileal hemorrhage in China: a multicenter 10 year retrospective survey
Da-lei Jiang,1,8 Hui-ya Liu,1,9 Yong Yuan,2 Jian-chao Sui,3 Chang-chun Jing,4 Kai-tong Jiang,5 Qing-cai Wang,6 Sheng-an Yuan,7 Hai-ying Chen,1 and Yan-jing Gaocorresponding author1
1Department of Gastroenterology, Qilu Hospital of Shandong University, Jinan, China
2The Medical Department The Affiliated Hospital of Medical College, Qingdao University, Qingdao, China
3Department of Gastroenterology, Wen-Deng People's Hospital, Wen-Deng, China
4Department of Gastroenterology, Liao-cheng Second People's Hospital, Liao-cheng, China
5Department of Gastroenterology, Lin-Yi People's Hospital, Lin-Yi, China
6Department of Gastroenterology, Tai-An People Hospital, Tai-An, China
7Department of Gastroenterology, Zi-bo People's Hospital, Zi-bo, China
8Department of Gastroenterology, Qing-Dao Municipal Hospital, Qing-Dao, China
9Department of Gastroenterology, He-Ze Municipal Hospital, He-Ze, China
corresponding authorCorresponding author.
Da-lei Jiang: jiangdaleiyy/at/yahoo.com.cn; Hui-ya Liu: liuhuiya3824/at/163.com; Yong Yuan: yuanyongjdl/at/sohu.com; Jian-chao Sui: suijiangchao/at/163.com; Chang-chun Jing: jingchangchun/at/yahoo.com.cn; Kai-tong Jiang: jiangkaitong/at/126.com; Qing-cai Wang: qingcaiwang/at/sohu.com; Sheng-an Yuan: yuanshengan/at/yhoo.com.cn; Hai-ying Chen: chenhaiying/at/126.com; Yan-jing Gao: yanjinggao/at/yahoo.com.cn
Received February 11, 2012; Accepted July 26, 2012.
Abstract
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.
Keywords: Cause, Clinical features, Diagnosis, Jejunoileal hemorrhage
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