Hypothesis: Small-bowel diaphragm disease is an important source of gastrointestinal tract bleeding and subacute intestinal obstruction that may require surgical intervention.
Design: Case series.
Setting: Tertiary-care academic medical center.
Am J Gastroenterol
September 2004
Introduction: Limited data exist on the role of aspirin in increasing the risk of clinically significant postpolypectomy bleeding (PPB), which is defined as lower gastrointestinal (GI) hemorrhage following colonoscopic polyp removal requiring transfusion, hospitalization, endoscopic intervention, angiography, or surgery.
Objectives: To determine if aspirin use prior to colonoscopy increases the risk of clinically significant PPB.
Methods: A case-control study of patients with clinically significant PPB at Mayo Clinic Scottsdale and Rochester was performed.
Diaphragm disease of the small intestine is part of the spectrum of diseases associated with injury to the gastrointestinal tract induced by nonsteroidal anti-inflammatory drugs. Standard endoscopy or contrast studies of the small intestine rarely identify these lesions. The diagnosis usually is established at the time of surgery.
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