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Endoscopic Management of Diverticular Bleeding
Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduce...
Autores principales: | , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2014
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274660/ https://www.ncbi.nlm.nih.gov/pubmed/25548554 http://dx.doi.org/10.1155/2014/353508 |
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author | Rustagi, Tarun McCarty, Thomas R. |
author_facet | Rustagi, Tarun McCarty, Thomas R. |
author_sort | Rustagi, Tarun |
collection | PubMed |
description | Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding. |
format | Online Article Text |
id | pubmed-4274660 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2014 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-42746602014-12-29 Endoscopic Management of Diverticular Bleeding Rustagi, Tarun McCarty, Thomas R. Gastroenterol Res Pract Review Article Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding. Hindawi Publishing Corporation 2014 2014-12-09 /pmc/articles/PMC4274660/ /pubmed/25548554 http://dx.doi.org/10.1155/2014/353508 Text en Copyright © 2014 T. Rustagi and T. R. McCarty. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Review Article Rustagi, Tarun McCarty, Thomas R. Endoscopic Management of Diverticular Bleeding |
title | Endoscopic Management of Diverticular Bleeding |
title_full | Endoscopic Management of Diverticular Bleeding |
title_fullStr | Endoscopic Management of Diverticular Bleeding |
title_full_unstemmed | Endoscopic Management of Diverticular Bleeding |
title_short | Endoscopic Management of Diverticular Bleeding |
title_sort | endoscopic management of diverticular bleeding |
topic | Review Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4274660/ https://www.ncbi.nlm.nih.gov/pubmed/25548554 http://dx.doi.org/10.1155/2014/353508 |
work_keys_str_mv | AT rustagitarun endoscopicmanagementofdiverticularbleeding AT mccartythomasr endoscopicmanagementofdiverticularbleeding |