An annotated algorithmic approach to acute lower gastrointestinal bleeding
| Autor: | Neil Hyman, Anthony N. Kalloo, Douglas O. Faigel, Jason A. Dominitz, Harvey S. Young, Bret T. Petersen, Glenn M. Eisen, John J. Vargo, Jay L. Goldstein, Michael E. Ryan, Robert D. Fanelli, Hareth M. Raddawi, Jo Wheeler-Harbaugh |
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| Rok vydání: | 2001 |
| Předmět: |
Gastrointestinal bleeding
medicine.medical_specialty Lower gastrointestinal bleeding medicine.medical_treatment Colonoscopy Rectum Sensitivity and Specificity Colonic Diseases medicine Humans Radiology Nuclear Medicine and imaging Colectomy medicine.diagnostic_test business.industry Gastroenterology medicine.disease United States Hematochezia Endoscopy Surgery medicine.anatomical_structure Acute Disease Etiology medicine.symptom Gastrointestinal Hemorrhage business Algorithms |
| Zdroj: | Gastrointestinal Endoscopy. 53:859-863 |
| ISSN: | 0016-5107 |
| DOI: | 10.1016/s0016-5107(01)70306-9 |
| Popis: | Summary Colonoscopy is the procedure of choice for theevaluation of acute LGIB. Upper endoscopy shouldbe performed when an upper source is suspected orwhen evaluation of the colon is negative. Ifcolonoscopy and upper endoscopy fail to reveal ableeding source, evaluation of the small bowelshould be considered. Angiography and/or ableeding scan may be appropriate in the setting ofmassive bleeding, persistent bleeding, or a non-diagnostic colonoscopy. Pre-operative localizationof bleeding should be attempted in all patients priorto surgical intervention except in rare circumstanceswhen massive hemorrhage necessitates emergentsub-total colectomy. References 1. Waye JD. Diagnostic endoscopy in lower intestinalbleeding. In: Sugawa C, Schuman BM, Lucas CE,editors. Gastrointestinal bleeding. New York: IgakuShoin Medical Publishers; 1992. p. 230-41. 2. Zuccaro G. Approach to the patient with acute lower GIbleeding. ASGE Clinical Update 1999;7. 3. Zuckerman GR, Prakash C. Acute lower intestinalbleeding Part I: Clinical presentation and diagnosis.Gastrointest Endosc 1998; 48:606-16. 4. ASGE. The role of endoscopy in the patient with lowergastrointestinal bleeding: guidelines for clinicalapplication. Gastrointest Endosc 1998;48:685-8. 5. Ebert RV, Stead EA, Gibson JG. Response of normalsubjects to acute blood loss. Arch Int Med1941;68:578. 6. Committee on Trauma, American College of Surgeons.Advanced trauma life support. 5th ed. Chicago:American College of Surgeons; 1993. p. 84. 7. Jensen DM, Machicado GA. Diagnosis and treatmentof severe hematochezia. The role of urgentcolonoscopy after purge. Gastroenterology1988;95:1569-74. 8. Luk GD, Bynum TE, Hendrix TR. Gastric aspiration inlocalization of gastrointestinal hemorrhage. JAMA1979;241:576-8. 9. Cuellar RE, Gavaler JS, Alexander JA, et al.Gastrointestinal tract hemorrhage. The value of anasogastric aspirate. Arch Intern Med1990;150:1381-4. 10. Zuckerman GR, Prakash C. Acute lower intestinalbleeding Part II: Etiology, therapy, and outcomes.Gastrointest Endosc 1998;49:228-38.11. Rossini FP, Ferrari A, Spandre M, et al. Emergencycolonoscopy. World J Surg 1989;13:190-2. 12. Caos A, Benner KG, Manier J, et al. Colonoscopyafter Golytely preparation in acute rectal bleeding. JClin Gastroenterol 1986;8:46-9. 13. Forde KA. Colonoscopy in acute rectal bleeding.Gastrointest Endosc 1981;27:219-20. Citation14. Zuccarro G. Management of the adult patient withacute lower gastrointestinal bleeding. Am JGastroenterol 1998;93:1202-8. Citation |
| Databáze: | OpenAIRE |
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