Celiac disease as a rare source of recurrent small intestinal bleeding

Abstract

Aim: study of the effectiveness of endoscopic interventions in complicated celiac disease.Material and methods. An electronic literature search was performed using databases: PubMed, Medline, Cochrane Library. A clinical case of a patient with small intestinal bleeding and celiac disease is described.Results. This literature review includes case reports, retrospective studies, and literature reviews. Presented is a clinical case of a patient who noted periodic discharge of blood from the anal canal for 2 years. According to esophagogastroduodenoscopy, erosive gastritis was detected, complicated by bleeding (the source was not identified) with suspected celiac disease. According to the histological conclusion, celiac disease is excluded. During hospitalization, it was decided to perform capsule endoscopy with balloon-assisted enteroscopy followed by a biopsy. According to the data of a comprehensive endoscopic examination of the small intestine, various defects of the mucous membrane with signs of ongoing bleeding were revealed. Endoscopic clipping of the identified defects was performed and a biopsy was taken. According to the results of histological examination, celiac disease complicated by small intestinal bleeding was diagnosed.Conclusions. The use of endoscopic therapeutic techniques avoids surgical interventions, and preserves the quality of life of the patient.