Taiwan practical consensus for evaluation and management of small-bowel bleeding.
Journal
Journal of the Chinese Medical Association : JCMA
Journal Volume
89
Journal Issue
3
Start Page
204
End Page
211
ISSN
1728-7731
Date Issued
2026-03-01
Author(s)
Kuo, Chia-Jung
Chang, Wei-Kuo
Chung, Chen-Shuan
Huang, Tien-Yu
Hung, Chih-Sheng
Tai, Wei-Chen
Su, Ming-Yao
Kuo, Chao-Hung
Lee, Chia-Long
Wu, Deng-Chyang
Wang, Horng-Yuan
Chu, Cheng-Hsin
Le, Puo-Hsien
Lee, Hsi-Chang
Chou, Jen-Wei
Lin, Wei-Pin
Lin, Ching-Pin
Sun, Cheuk-Kay
Chang, Chen-Wang
Hsu, Wen-Hung
Chen, Chih-Yen
Chen, Yang-Yuan
Tai, Chi-Ming
Yen, Hsu-Heng
Luo, Jiing-Chyuan
Chen, Kuan-Yang
Chiu, Cheng-Tang
Abstract
Small-bowel bleeding, accounting for 5% to 10% of gastrointestinal bleeding episodes, presents a distinct diagnostic challenge due to the organ's length and anatomical complexity. Over recent years, the management of small-bowel bleeding has significantly evolved, driven by advancements in both diagnostic and therapeutic technologies. This Taiwan Association for the Study of Intestinal Diseases (TASID) practical consensus integrates local epidemiology, up-to-date diagnostic advances, including early small-bowel capsule endoscopy, and emerging treatments for vascular lesions such as angiodysplasia. This practical consensus is divided into four major parts, including: (I) terminology regarding small-bowel bleeding and differential diagnosis, (II) evaluation of suspected small-bowel bleeding, (III) endoscopy for small-bowel bleeding, and (IV) medical treatment. Clinicians should be equipped to identify common causes of small-bowel bleeding, understand the advantages and limitations of various evaluation methods, and apply a stepwise, evidence-based approach in managing these patients.
Subjects
Capsule endoscopy
Consensus
Enteroscopy
Small-bowel bleeding
Type
journal article