Management of lower gastrointestinal tract bleeding

Barnert, J.; Messmann, Helmut

doi:10.1016/j.bpg.2007.10.024

Cited by 62 publications

(30 citation statements)

References 40 publications

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“…In addition, colorectal polyps can be the cause of LGIB in preschool age and older children and inflammatory bowel disease is an important cause of LGIB which is highly prevalent among the younger children (school age children and adolescents) (13)(14)(15). Age can also provide a sign to the cause of acute LGIB; younger patients be predisposed to bleeding from hemorrhoids, vascular malformation, and solitary rectal ulcers, while older patients tend to bleed from diverticula, vascular malformations, and neoplasms (16). In our previous study, of 256 children who were evaluated endoscopically for recurrent LGIB, 4.7% had solitary rectal ulcers (17).…”

Section: Discussionmentioning

confidence: 96%

Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

et al. 2013

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Background: Lower gastrointestinal bleeding (LGIB) in infants and children is a common problem in medical centers; however, its epidemiologic properties have not been studied well. Objectives: Due to the fact that LGIB has various causes in different geographical places, considering the importance of etiology in decision making for diagnostic techniques and treatment and since the lack of comprehensive database related to this issue, the main purpose of the current study was to determine the main causes of LGIB in children in a single center from Southern Iran. Patients and Methods:The study was conducted on all the patients less than 18 years old with LGIB who referred to Pediatric Gastroenterology Ward affiliated with Shiraz University of Medical Sciences between 2005 and 2009. The data, including the patients' sex, age, and endoscopic as well as pathological findings, were collected and analyzed. Results: Overall, our series included a total of 309 patients with LGIB (185 males and 124 females) below 18 years old. The most common causes of LGIB included colorectal polyps (n = 90; 29.1%), lymphoid nodular hyperplasia (n = 62; 20%), solitary rectal ulcer (n = 31; 10%), and inflammatory bowel disease (n = 20; 6.5%). Nevertheless, no obvious causes were identified in 30.7% of the patients. The prevalence of lymphoid nodular hyperplasia in less than 2 years old patients and colorectal polyps in the 2-6 years old patients were significantly higher than the other causes (P = 0.001). The most cases with inflammatory bowel diseases and solitary rectal ulcer were more than 2 years old. On the other hand, no statistically significant differences were observed between males and females as well as different age groups regarding the means of the underlying causes of LGIB (P > 0.05). Conclusions:The results of present study could be used by the Iranian physicians in order to gain an overall picture of LGIB in Iran and guide the management of the patients with LGIB.

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Section: Discussionmentioning

confidence: 96%

Lower Gastrointestinal Bleeding in Children: Experiences From Referral Center in Southern Iran

et al. 2013

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“…However, much less has been published regarding the effectiveness of EH in the subset of patients with bleeding arising directly from primary or metastatic malignancies involving the GI tract wall. [2][3][4][5][6][7] Overall, EH for GIB effectively reduces bleeding-related transfusion requirements, morbidity, and need for surgery. 8 However, little is known about the impact of EH on patients with cancer-related bleeding specifically.…”

Section: Endoscopic Therapy For Gi Tumor Bleedingmentioning

confidence: 98%

Management of bleeding GI tumors

Heller

Tokar

Nguyen

et al. 2010

Gastrointestinal Endoscopy

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“…1,2 Its spectrum of severity ranges from mild per rectal bleeding to life-threatening, massive hemorrhage. There has been a lot of studies about the epidemiology and time trends of upper GI bleeding, but the data about the incidence of LGIB is limited.…”

Section: Introductionmentioning

confidence: 99%