Emergent Colonoscopy to Control Colonic Diverticular Bleeding

DOI 1 Citations 15 References

Bibliographic Information

Other Title
  • 大腸憩室出血に対する緊急大腸内視鏡検査の検討

Search this article

Description

We present herein our investigation on emergent colonoscopy for cases of colonic diverticular bleeding. Eighty-eight patients with colonic diverticular bleeding who had undergone urgent colonoscopy in our hospital were retrospectively reviewed. The average age of the patients was 65 years. The incidence rates of diverticular bleeding were higher in males and right colonic cases. The short term rebleeding rate for total bleeding cases was 28% (35/122cases), and the long term one for each patients was 24% (21/88cases). The colonoscopic diagnostic rate for confirmation of diverticular bleeding was 40% (45/112cases) and the possible hemostastic procedure rate for all urgent colonoscopies was 43% (65/151cases). The short term rebleeding rates with or without endoscopic hemostasis were 26% (17/65cases) and 23% (20/86cases) respectively. The effect of ordinary endoscopic therapy for the prevention of short term rebleeding was thus doubtful. Emergency colonoscopies for diverticular bleeding should therefore be mainly aimed at diagnosis and primary hemostasis, moreover endoscopic preventive hemostasis may be necessary to treat rebleeding. In cases of frequent rebleedings or when hemostasis cannot be achieved, surgery should be considered.

Journal

Citations (1)*help

See more

References(15)*help

See more

Keywords

Details 詳細情報について

Report a problem

Back to top