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Canadian Journal of Gastroenterology
Volume 21, Issue 9, Pages 597-600
Brief Communication

New Endoscopic Techniques for Obscure Gastrointestinal Bleeding

Henk den Ouden,1 SAC van Tuyl,1 Marcel Groenen,2 Mark FJ Stolk,1 and Ernst J Kuipers2

1Department of Gastroenterology, St Antonius Hospital, Nieuwegein, Netherlands
2Erasmus Medical Center, Rotterdam, Netherlands

Received 14 June 2006; Accepted 12 August 2006

Copyright © 2007 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The case of a postmenopausal woman with a congenital aortic stenosis is presented. She presented with severe iron deficiency anemia. After negative extensive gastrointestinal analysis, she was treated with octreotide for six months. After cessation of octreotide, anemia rapidly recurred. A second capsule endoscopy and a double balloon enteroscopy were performed, and an intestinal vascular malformation was found. After surgical segment resection, the patient had stable, normal levels of hemoglobin and no complaints after 14 months of follow-up.