Early colonoscopy for acute lower GI bleeding predicts shorter hospital stay: a retrospective study of experience in a single center

Schmulewitz, Nathan; Fisher, Deborah A.; Rockey, Don C.

doi:10.1016/s0016-5107(03)02304-6

Cited by 110 publications

(99 citation statements)

References 20 publications

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“…17 However, no distinct causes of LGIB were found in 5-20% colonoscopy procedure. 18,19 In our study, when LGIB was presented in the patients of more than 50 years of age, the most likely cause was colorectal neoplasm (including colon polyp and colon cancer) and when it was presented in the patients of less than 50 years of age, the likely causes were hemorrhoid, non-specific colitis and IBD. Since colon polyp was found more commonly in the age group of 50-69 years and colon cancer in the age group of 70-84 years, the recommendation of undergoing colon cancer screening by colonoscopy after 50 years of age seems to be valid in our population of Nepal as well, because more detection of polyp at 50-69 age group could prevent the development of more colon cancer at 70-84 years age group.…”

Section: Discussionmentioning

confidence: 55%

Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal

Shrestha

2015

J Adv Intern Med

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Section: Discussionmentioning

confidence: 55%

Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal

Shrestha

2015

J Adv Intern Med

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“…21 In another study done in Singapore, the most common etiology of LGIB was hemorrhoid. 22 Similarly, a study conducted in Jordan with 701 patients also found that the most common cause for LGIB was hemorrhoids. 23 …”

Section: Discussionmentioning

confidence: 95%

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

et al. 2017

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Background: Lower gastrointestinal bleeding (LGIB) is bleeding arising below the ligament of Treitz. Hemorrhage from the lower gastrointestinal (GI) tract accounts for about 20% of all cases of acute GI bleeding. Lower GI bleeding is that which occurs from the colon, rectum, or anus, and presenting as either hematochezia (bright red blood or red wine color stools) or malena, blood streaking of the stool. The objective of this study was to evaluate the etiological profile of patients presenting with lower gastrointestinal bleeding.Methods: This one-year cross-sectional study was conducted in the Department of Medicine, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi from January 2015 to December 2015. The study design was a cross-sectional study. This study was carried out from January 2015 to December 2015. Patients with lower gastro-intestinal bleeding presenting at Department of Medicine and Department of Gastro-enterology, KLES Dr. Prabhakar Kore Hospital and Medical Research Centre, Belagavi were studied.Results: In the present study majority of the patients were males with the mean age was 43.82±17.96 years and majority of the patients were married with moderate built and nourishment. As per the occupation majority were housewives followed by students. In the present study diabetes mellitus was the most common medical history reported. Internal haemorrhoids was significantly associated with male sex, student’s profession followed by housewife with mixed diet consumption, the clinical presentations significantly associated with internal haemorrhoids were haematochezia, loss of appetite, tenesmus, passage of mucus in stools, constipation, abdominal pain and vomiting.Conclusions: Internal hemorrhoids is the most common cause followed by ulcerative colitis. Though not common, carcinoma colon, solitary rectal ulcer syndrome, polyp, colonic diverticulosis, ischaemic colitis, non-specific proctitis, and radiation proctitis are the other causes of LGIB.

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“…Even after adequate bowel preparation, urgent colonoscopy could result in an incomplete examination in 0-45% of cases, but the risk of complications due to colonoscopy does not exceed 11%. The method allows a positive diagnosis in approximately two-thirds of cases and achieving hemostasis in one-third, resulting in a shortened duration of hospitalization [16,[23][24][25]. However, no randomized controlled trial has determined whether the 4-L or the 2-L preparation produces a better outcome [20].…”

Section: Bowel Preparationmentioning

confidence: 99%

Management of Diverticular Hemorrhage: Catching That Culprit Diverticulum Red-Handed!

2018

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Background/Summary: Acute colonic diverticular hemorrhage (CDH) represents a significant challenge for gastroenterologists. There are some clinical problems in the diagnosis, treatment, and prevention of CDH. CDH is the most common cause of overt lower gastrointestinal bleeding in adults in Eastern and Western countries. Moreover, CDH imposes significant economic and clinical burdens on the health care system. Colonoscopy is recommended as a useful diagnostic tool for CDH after bowel preparation. Colonoscopy can be used to identify the culprit diverticulum and to provide endoscopic therapy. In most cases, however, the bleeding stops spontaneously. For this reason, it is still controversial whether urgent colonoscopy or elective colonoscopy is “preferable.” Key Messages: This review aims to highlight the various clinical problems (purge, timing of colonoscopy, CT angiography, and endoscopy) encountered in the attempt to identify and treat the culprit diverticulum red-handed.

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Early colonoscopy for acute lower GI bleeding predicts shorter hospital stay: a retrospective study of experience in a single center

Cited by 110 publications

References 20 publications

Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal

Etiological profile, gender difference and age group patterns of 415 patients presenting with lower gastrointestinal bleeding in the western region of Nepal

Etiological profile of patients presenting with lower gastrointestinal bleeding at tertiary care hospital at Belagavi: a cross sectional study

Management of Diverticular Hemorrhage: Catching That Culprit Diverticulum Red-Handed!

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