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Volume 351:2455-2456 December 2, 2004 Number 23
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Case 24-2004: Recurrent Gastrointestinal Bleeding in a 48-Year-Old Man

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 by Keroack, M. D.
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To the Editor: Although its purpose was to extol the use of video-capsule endoscopy, Case 24-2004 in the July 29 issue1 illustrates the greed for certainty that feeds the increasing costs of medical care. The pictures are educational, but an enteroclysis one month earlier had displayed the lesion — in black and white, to be sure, rather than in living color — and that should have been enough to warrant laparotomy. After that, a computed tomographic scan confirmed it, and then the clearly supernumerary mesenteric angiography followed.

From a heuristic standpoint, I suppose, all the studies may have been justified, . . . [Full Text of this Article]




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