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Gastroenterology and Hepatology DOT'T BETRICKED . Ten percent of rapid rectal bleeding has a UGI source Small Bowel Bleeding Diagnosis Small bowel bleeding (between the ampulla of Vater and ileocecal valve) can be overt or occult, manifesting as anemia. Up to 10% of GI bleeding is from a small bowel source. Testing For unstable patients: o CIA For stable patients: r capsuleendoscopy DO]I'T BETRICKED o Do not use capsule endoscopy in the setting of obstruction or strictures (severe Crohn disease) 113