Massive @entity548 from XXXX .

@entity1 @entity548 @entity190 @entity7261 @entity583 @entity360
During a ten year interval, four @entity1 with extensive @entity548 from @entity7261 were treated in a city of 750,000 @entity1 . @entity1 ages ranged from 54 to 66 years. All of the @entity1 presented with bright red @entity548 . Bleeding scans demonstrated a source of @entity190 high in the small intestine in two @entity1 who had @entity7261 at exploratory laparotomy. In another @entity1 , the results of preoperative evaluation did not reveal the site of @entity548 . Jejunal @entity7261 were found at exploratory laparotomy. These three @entity1 underwent jejunal resection and have since remained free of @entity360 . In the fourth @entity1 , mesenteric arteriography revealed extravasation from a jejunal diverticulum. After angiography, the @entity1 experienced no further @entity548 , and surgical treatment was not performed. This @entity1 remained asymptomatic and died of @entity583 five years later. The successful nonoperative management of this @entity1 belies the high reported incidence of recurrent @entity548 associated with @entity7261 . Thus, @entity1 with @entity548 who are found to have @entity7261 should undergo removal of the involved jejunum, even if preoperative evaluation results implicate another source. The results of this study suggest that @entity7261 are a more frequent cause of extensive @entity548 than heretofore appreciated, particularly in the elderly.
