Current Attitudes on Diverticulitis With Particular Reference to Colonic Bleeding

Rigg, Bruce M.; Ewing, M. R.

doi:10.1001/archsurg.1966.01320210001001

Cited by 43 publications

(5 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Previous case–control studies reported adjusted odds ratios of 3.1–4.5 for bleeding in patients with bilateral diverticulosis in agreement with our data . Typical diverticular locations differ between Asian and Western countries . In the West, diverticula are predominantly left‐sided, whereas right‐sided and bilateral diverticula predominate in Asia .…”

Section: Discussionsupporting

confidence: 91%

Natural history of bleeding risk in colonic diverticulosis patients: a long‐term colonoscopy‐based cohort study

Niikura

Nagata

Shimbo

et al. 2015

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

Section: Discussionsupporting

confidence: 91%

Natural history of bleeding risk in colonic diverticulosis patients: a long‐term colonoscopy‐based cohort study

Niikura

Nagata

Shimbo

et al. 2015

Aliment Pharmacol Ther

View full text Add to dashboard Cite

show abstract

“…Prochaska et al [7] described the first complicaEmergency surgery for massive diverticular bleeding is associated with high morbidity and mortality [10,11]. Intra-arterial vasopressin infusion is an accepted treatment, and Baum et al [12] have reported initial control in 22 of 23 patients.…”

Section: Discussionmentioning

confidence: 99%

Colonic ischemic necrosis following therapeutic embolization

Shenoy

Satchidanand

Wesp

1981

Gastrointest Radiol

View full text Add to dashboard Cite

show abstract

“…The location of bleeding cannot be assigned by the color of the blood lost [36,61]. Further episodes of hemorrhage occur in up to 25% of cases [26,62,63,64]. Chronic bleeding was reported to be rare and alternative diseases must be considered [65].…”

Section: Clinical Presentationmentioning

confidence: 99%

“…Some authors report an incidence up to 55% [2,17,18,19,20,21]. Other investigators reported that up to 27% of patients with diverticular disease present with acute blood loss [22,23,24,25,26,27,28]. A larger review of the literature revealed an incidence of about 17%, but the range is broad (5-50%) [9,23].…”

Section: Introductionmentioning

confidence: 99%

Diverticular disease-associated hemorrhage in the elderly

Buttenschoen

Odermath

et al. 2001

Langenbeck's Archives of Surgery

View full text Add to dashboard Cite

Lower gastrointestinal bleeding is frequent in the elderly secondary to diverticular disease and occurs in about 10-30%. It is the most frequent cause of lower gastrointestinal hemorrhage (about 40% of cases) followed by angiodysplasia (up to 20% of cases). The incidence of both diseases increase with age, but the patient's general condition and state of health decrease. Often cardiovascular morbidity coexists, resulting in an eventual risk of ischemic consequences. The intensity of bleeding varies from massive to occult. In diverticular disease, hemorrhage is caused by rupture or erosion of the vasa recti stretched by diverticula. Classically inflammation is absent. Although most diverticula (> 90%) are located in the sigmoid colon, bleeding originates more frequently from the right (> 50%) than the left colon. The preferred diagnostic tool following resuscitation is colonoscopy with an ability to locate the site of bleeding in up to 90% of cases. Additionally, injections and thermocoagulation are available to control bleeding endoscopically with a success rate of about 27%. Angiography is considerably variable concerning positive results (13.6-86%), has a complication rate of about 10% and is expensive. Hence, it is a second-line diagnostic method. Diverticular hemorrhage will cease spontaneously in about 90% of cases. Therefore, conservative treatment is preferred. Patients with persistent, massive or recurrent bleeding despite active conservative measures require surgical treatment. If surgical intervention is necessary, the site of hemorrhage must be sought to allow segmental resection. However, if the source of blood loss cannot be located, a subtotal colectomy is justified.

show abstract

Current Attitudes on Diverticulitis With Particular Reference to Colonic Bleeding

Cited by 43 publications

References 41 publications

Natural history of bleeding risk in colonic diverticulosis patients: a long‐term colonoscopy‐based cohort study

Natural history of bleeding risk in colonic diverticulosis patients: a long‐term colonoscopy‐based cohort study

Colonic ischemic necrosis following therapeutic embolization

Diverticular disease-associated hemorrhage in the elderly

Contact Info

Product

Resources

About