Endoscopic Management of Diverticular Bleeding

被引:7
作者
Rustagi, Tarun [1 ]
McCarty, Thomas R. [2 ]
机构
[1] Yale Univ, Sch Med, Dept Internal Med, Sect Digest Dis, New Haven, CT 06520 USA
[2] Yale Univ, Sch Med, Dept Internal Med, New Haven, CT 06520 USA
关键词
LOWER GASTROINTESTINAL HEMORRHAGE; BAND LIGATION; COLONIC DIVERTICULA; URGENT COLONOSCOPY; RISK-FACTORS; UNITED-STATES; DIAGNOSIS; HOSPITALIZATION; EPIDEMIOLOGY; EXPERIENCE;
D O I
10.1155/2014/353508
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and amedian 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.
引用
收藏
页数:5
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