Capsule Endoscopy vs. Push Enteroscopy in Occult Gastrointestinal Bleeding OGIB

Inclusion Criteria:

• Patients may suffer from episodes of active bleeding within the last 6 months or chronic iron-deficiency anemia (hemoglobin < 10 g/dl).
• A gynecologic or proctologic bleeding source had to be excluded.
• All patients had to have negative workup including upper gastrointestinal endoscopy, colonoscopy and small-bowel barium series or computed tomography enteroclysis.
• Medical reports and/or the imaging documents were available and reviewed in all patients. Usually these investigations were repeated several times before inclusion.
• Abdominal angiography was only performed when there were signs of active bleeding during the diagnostic work-up (n = 3). Meckel scintigraphy was usually carried out in patients under 30 years of age (n = 14).

Exclusion Criteria:

• Patient presenting a digestive bleeding with an echo hemodynamic major and\or requiring urgent therapeutic measures
• Wait presenting a gynaecological cause or a cause proctology of sure imputability or syndrome of malabsorption or deficiency of contribution not formally excluded
• Patient presenting an occlusive syndrome or a hurt of stenosis hail objectivized by a radiological exploration
• Surrounding wall(Speaker) or in age waits to procreate without effective contraception
• The mental or physical state of the patient not allowing a maid compliance in the conditions of the try(essay) and or in the correct use of the device Patient carrier of a pacemaker or another electromechanical implant
• Patient that must undergo an examination by MRI before having been able to eliminate the capsule
• Enteroscopy or video capsule prerequisite technically satisfactory and in touch with same pathological episode or dating at least less than 6 months Patient participating at present in another clinical trial without direct profit which can directly or indirectly influence the results(profits) of the present study