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Highlighted Steps of the Management Algorithm in Acute Lower Gastrointestinal Bleeding - Case Reports and Literature Review.
- Source :
-
Chirurgia (Bucharest, Romania : 1990) [Chirurgia (Bucur)] 2016 Jan-Feb; Vol. 111 (1), pp. 74-9. - Publication Year :
- 2016
-
Abstract
- Acute lower gastrointestinal bleeding is a major problem worldwide, being a rare and life threatening condition, with a mortality rate situated between 2 and 4%. Acute lower gastrointestinal bleeding is solvent for 1 - 2% of the entire hospital emergencies, 15% presenting as massive bleeding and up to 5% requiring surgery. Lower gastrointestinal bleeding can be classified depending on their location in the small or large intestine. The small bowel is the rarest site of lower gastrointestinal bleeding, at the same time being the commonest cause of obscure bleeding. 5% of total lower GI bleeding appears in the small bowel. When endoscopic therapy associated with medical treatment are insufficient, endovascular intervention can be lifesaving. Unfortunately in some rare cases of acute lower gastrointestinal bleeding with hemo-dynamic instability and the angiography performed being unable to locate the source of bleeding, the last therapeutic resource remains surgery. In the following we exemplify two cases of acute lower gastrointestinal bleeding which were resolved in different ways, followed by a thorough description of the different types of available treatment and finally, in the conclusions, we systematize the most important stages of the management algorithm in acute lower gastrointestinal bleeding.<br /> (Celsius.)
- Subjects :
- Acute Disease
Adolescent
Adult
Algorithms
Angiodysplasia complications
Angiodysplasia diagnosis
Angiography
Colonoscopy
Digestive System Surgical Procedures methods
Diverticulitis complications
Diverticulitis diagnosis
Emergencies
Gastrointestinal Hemorrhage diagnosis
Gastrointestinal Hemorrhage etiology
Humans
Ileum pathology
Male
Treatment Outcome
Vascular Fistula diagnosis
Vascular Fistula etiology
Angiodysplasia therapy
Diverticulitis surgery
Embolization, Therapeutic methods
Gastrointestinal Hemorrhage therapy
Meckel Diverticulum
Vascular Fistula surgery
Subjects
Details
- Language :
- English
- ISSN :
- 1221-9118
- Volume :
- 111
- Issue :
- 1
- Database :
- MEDLINE
- Journal :
- Chirurgia (Bucharest, Romania : 1990)
- Publication Type :
- Academic Journal
- Accession number :
- 26988545