Taiwan practical consensus for evaluation and management of small-bowel bleeding

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.

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Publication Details

Journal
Journal of the Chinese Medical Association
Published
2026-01-21
DOI
https://doi.org/10.1097/jcma.0000000000001345
Primary Topic
Gastrointestinal Bleeding Diagnosis and Treatment
Type
article
Field-Weighted Citation Impact
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article

Taiwan practical consensus for evaluation and management of small-bowel bleeding

Ching-Pin Lin, K. Chen, Wen-Hung Hsu, Wei-Chen Tai et al.
Journal of the Chinese Medical Association
Gastrointestinal Bleeding Diagnosis and Treatment
article

Taiwan practical consensus for evaluation and management of small-bowel bleeding

Ching-Pin Lin, K. Chen, Wen-Hung Hsu, Wei-Chen Tai, Y CHEN, Chih-Hung Chang, Chi‐Ming Tai, Jen-Wei Chou, Cheuk-Kay Sun, Tu Chia-Hung, Kuo Cm, Chia-Jung Kuo, Lin Wang, C. F. Chiu, Chia Long Lee, Chen-Shuan Chung, Hsu-Heng Yen, Chih-Yen Chen, Tien-Yu Huang, Horng-Yuan Wang, Hsi-Chang Lee, Chih-Sheng Hung, Ming-Yao Su, Deng-Chyang Wu, Wei-Kuo Chang, Puo-Hsien Le, Jiing-Chyuan Luo
article en

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.

Journal of the Chinese Medical AssociationVol. 89(3)
Fu Jen Catholic University (TW), Tri-Service General Hospital (TW), National Yang Ming Chiao Tung University (TW), Kaohsiung Medical University (TW), National Chung Hsing University (TW), Chang Gung University (TW), China Medical University (TW), National Tsing Hua University (TW), Kaohsiung Medical University Chung-Ho Memorial Hospital (TW), Mackay Memorial Hospital (TW), Taipei Veterans General Hospital (TW), Chang Gung Memorial Hospital (TW), Mackay Medical University (TW), E-Da Hospital (TW), Taoyuan Chang Gung Memorial Hospital (TW), Kaohsiung Chang Gung Memorial Hospital (TW), Taipei Tzu Chi Hospital (TW), Far Eastern Memorial Hospital (TW), Chung Shan Medical University Hospital (TW), Taipei City Hospital (TW), Taiwan Nurses Association (TW), China Medical University Hospital (TW), Mackay Junior College of Medicine, Nursing and Management (TW), Cathay General Hospital (TW), National Taiwan University Hospital (TW), Kaohsiung Municipal Ta-Tung Hospital (TW), Changhua Christian Hospital (TW), Memorial Hospital (US), Taipei Medical University (TW), National Defense Medical Center (TW), Chung Shan Medical University (TW), I-Shou University (TW), Yuan Ze University (TW)
Good health and well-being
Openalex Percentile: Top 83%
Gastrointestinal Bleeding Diagnosis and Treatment
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