• 1. Department of Gastroenterology, Central Hospital of Xianning, Xianning 437100, China; 2. Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, China;
LIU Qisheng , Email: liuqisheng99@yahoo.com.cn
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Objective   To discuss the common clinical problems and make the individualized treatment for a patient with obscure gastrointestinal bleeding by means of evidence-based medicine, so as to ultimately control the symptoms and reduce the mortality.
Methods   After the clinical problems were put forward, the systematic reviews and randomized controlled trials (RCTs) were collected in The Cochrane Library (online), MEDLINE, EMBase, SCIE and CNKI databases, from the date of their establishment to 2010. The treatment protocol was made by combining the assessment of evidence with the willingness of both patient and relatives.
Results   A total of 30 RCTs and 5 systematic reviews were identified. A rational diagnostic and therapeutic plan was made upon a serious evaluation of the data and willingness of patients. The Mickel’s diverticulum was found through capsule endoscopy, which was then locally excised under laparoscopy. After a 6-month follow-up, the plan proved to be optimal.
Conclusion   The treatment efficacy in diagnosed obscure gastrointestinal bleeding has been improved by adopting an individualized treatment plan according to evidence-based methods.

Citation: LIU Qisheng ,DONG Weiguo. Evidence-Based Treatment for a Patient with Obscure Gastrointestinal Bleeding. Chinese Journal of Evidence-Based Medicine, 2012, 12(1): 104-110. doi: 10.7507/1672-2531.20120018 Copy

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