Treatment Strategy for Colon Diverticular Bleeding

DOI 1 Citations
  • Higaki Satoshi
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Hiraki Sakiko
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Oiwa Yusuke
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Okada Youhei
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Ichikawa Tetuya
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Arai Yusuke
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Ishii Wataru
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Narumiya Hiromichi
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital
  • Iizuka Ryouji
    Department of Emergency and Critical Care Center, Japanese Red Cross Society Kyoto Daini Hospital

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Other Title
  • 大腸憩室出血の治療戦略

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Abstract

I examined the treatment strategy in our Institution for large intestine diverticulum bleeding and 141 cases were diagnosed in the period from April, 2008 until December, 2012. Endoscopic hemostasis, IVR, barium filling and surgical treatment comprise a variety of approaches in the treatment of large intestinal diverticulum bleeding. As for the endoscopy enforcement rate, 92.10% (130/141 cases); inner; was 16.9% of art of endoscopic hemostasis enforcement rate （22/130 cases）. The success rate for hemostasis was 68.1% (15/22 cases), for TAE, it was 9.2% (13/141 cases), and as for the IVR approach, the success rate was 100% (10/10 cases). There was a rebleeding case in the Osakashi Securities Exchange as well as a diverticulum bleeding case, too, and we found it hard to stop the bleeding in our Institution. A total of nine rebleeding cases were recognized. Large intestinal diverticula often occur frequently, with each treatment method having its own good points and bad points, but rebleeding is possible no matter what treatment approach is chosen. It is therefore necessary to be prepared to be able to apply an alternative approach any time that rebleeding occurs.

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