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A 52-year-old man with end-stage renal disease and cirrhosis suffered from intermittent passage of melena of 2 months’ duration. Oesophagogastroduodenoscopy and colonoscopy did not reveal a bleeding lesion. He was referred to our hospital for balloon-assisted enteroscopy because of obscure gastrointestinal bleeding (OGIB). The laboratory findings were as follows: haemoglobin, 8.2 g/dl (normal range, 12.0–16.0 g/dl), platelet count, 102×103/μl (normal range, 150–400×103/μl), prothrombin time, 9.7 s (control, 10.6 s; international normalised ratio (INR), 0.91), activated partial thrombin time, 25.7 s (control, 31.3 s). Balloon-assisted enteroscopy via the oral route revealed …
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