Clinical assessment and treatment algorithm for lower gastrointestinal bleeding

Gastrointestinal Intervention Pub Date : 2018-10-31 DOI:10.18528/GII180024

S. Park

引用次数: 0

Abstract

Lower gastrointestinal bleeding (LGIB) is diagnosed in 20% to 30% of all patients presenting with major gastrointestinal (GI) bleeding. Although most patients with acute LGIB stop bleeding spontaneously and have favorable outcomes, morbidity and mortality ranges from 2% to 4%, and is higher in older patients and those with comorbid medical conditions. Common etiologies of LGIB are diverticular bleeding, ischemic colitis, angioectasia bleeding and hemorrhoid. Patients presenting with acute severe hematochezia should undergo a focused evaluation simultaneous with hemodynamic resuscitation. An upper GI bleeding source must be excluded in patients with hematochezia and hemodynamic instability. Colonoscopy following a colon preparation is the initial test of choice in most patients presenting with acute hematochezia and hemodynamic stability. Copyright © 2018, Society of Gastrointestinal Intervention.

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下消化道出血的临床评价及治疗方法

20%至30%的主要胃肠道出血患者被诊断为下消化道出血。尽管大多数急性LGIB患者自发止血并有良好的结果，但发病率和死亡率在2%至4%之间，老年患者和有合并疾病的患者发病率和死亡率更高。LGIB的常见病因是憩室出血、缺血性结肠炎、血管扩张出血和痔疮。出现急性严重便血的患者应在进行血液动力学复苏的同时进行重点评估。便血和血液动力学不稳定的患者必须排除上消化道出血源。结肠准备后的结肠镜检查是大多数急性便血和血液动力学稳定患者的首选检查方法。版权所有©2018，胃肠道干预学会。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Gastrointestinal Intervention

自引率

0.00%

发文量

审稿时长

24 weeks

期刊介绍： IJGII (pISSN 2636-0004, eISSN 2636-0012) was published four times a year on the last day of January, April, July, and October, which has effected from January 1 in 2019. This Journal was first published biannually on June and December, beginning in December 2012 under the title ‘Gastrointestinal Intervention’ (former pISSN 2213-1795, eISSN 2213-1809) and was changed to be published three times a year from 2016. Commencing with the January 2019 issue, the Journal was renamed ‘International Journal of Gastrointestinal Intervention’. As the official journal of the Society of Gastrointestinal Intervention (SGI), International Journal of Gastrointestinal Intervention (IJGII) delivers original, peer-reviewed articles for gastroenterologists, interventional radiologists, surgeons, gastrointestinal oncologists, nurses and technicians who need current and reliable information on the interventional treatment of gastrointestinal and hepatopancreaticobiliary diseases. Regular features also include ‘state-of-the-art’ review articles by leading authorities throughout the world. IJGII will become an international forum for the description and discussion of the various aspects of interventional radiology, endoscopy and minimally invasive surgery.