Small bowel diverticulum is a rare cause of gastrointestinal bleeding. The diagnosis and treatment of small bowel diverticular\nhemorrhage is clinically challenging before the development of deep enteroscopy. In this multicenter study from the Taiwan\nAssociation for the Study of Small Intestinal Diseases (TASSID), 608 patients underwent deep enteroscopy for obscure gastrointestinal\nbleeding during January 2004 and April 2010 from eight medical centers in Taiwan. Small bowel diverticular hemorrhage\naccount for 7.89% of obscure gastrointestinal bleeding in this study. Most of the patients received endoscopic therapy with an\ninitial hemostasis rate of 85.71% and rebleeding rate of 20%. In this large case series investigating the enteroscopic management of\nsmall intestinal diverticular hemorrhage, we found that, as to patients with peptic ulcer hemorrhage, most of these patients can be\nsuccessfully managed by endoscopic therapy before surgery in the era of deep enteroscopy.
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