scholarly journals Acute appendicitis as a cause of lower gastrointestinal bleeding

2020 ◽  
Vol 43 (2) ◽  
pp. 95-96
Author(s):  
P Abellán Alfocea ◽  
JG Martínez Cara ◽  
EJ Ortega Suazo ◽  
E Redondo Cerezo
Keyword(s):  
Acute Appendicitis ◽  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Hemorragia Digestiva

Resumen Se presenta un caso de hemorragia digestiva baja secundaria a apendicitis aguda supurativa y cuyo diagnóstico se alcanza por colonoscopia. Se trata de una forma atípica tanto de presentación como de diagnóstico de la apendicitis aguda, cuya imagen endoscópica es importante conocer para la detección de otros casos en el futuro.

scholarly journals Cholecystocolonic fistula, a rare cause of lower gastrointestinal bleeding

2021 ◽  
Vol 44 (3) ◽  
pp. 110-112
Author(s):  
A Gómez Pérez ◽  
B Gros Alcalde ◽  
E Navarro Rodriguez
Keyword(s):  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding ◽  
Hemorragia Digestiva ◽  
Cholecystocolonic Fistula

Resumen La fístula colecistocolónica es una complicación infrecuente de la patología vesicular y supone el segundo tipo más frecuente de fístula colecistoentérica, tras la fístula colecistoduodenal. Tiene una presentación clínica variable, aunque en la mayoría de los casos cursa de forma asintomática y se diagnostica de forma incidental tras colecistectomía. El tratamiento definitivo de esta patología es la cirugía, aunque en algunas ocasiones, teniendo en cuenta la comorbilidad del paciente, puede optarse por un tratamiento conservador con vigilancia estrecha. Presentamos el caso de un paciente con hemorragia digestiva baja masiva como presentación clínica de una fístula colecistocolónica, que dado el rápido deterioro clínico, precisó de manejo multidisciplinar y tratamiento endovascular.

EFFECT OF WEEKEND HOSPITAL ADMISSION ON LOWER GASTROINTESTINAL BLEEDING OUTCOMES

2020 ◽  
Author(s):  
S Machlab ◽  
P Garcia - Iglesias ◽  
E Martinez-Bauer ◽  
E Brunet ◽  
L Hernandez ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Hospital Admission ◽  
Lower Gastrointestinal Bleeding

Usefulness of Hemospray in a patient with refractory lower gastrointestinal bleeding secondary to a caecal ulcer caused by cytomegalovirus

2018 ◽  
Vol 41 (1) ◽  
pp. 40-42
Author(s):  
Rubén Diez-Rodríguez ◽  
Rocio Silvana Castillo-Trujillo ◽  
Martha Lucia González-Bárcenas ◽  
Cristina Pisabarros-Blanco ◽  
Ana Barrientos-Castañeda
Keyword(s):  
Gastrointestinal Bleeding ◽  
Lower Gastrointestinal Bleeding

708 Examining the Management of Acute Lower GI Bleeds in Order to Improve Policies and Reflect Safe and Updated Guidance

2021 ◽  
Vol 108 (Supplement_2) ◽  
Author(s):  
L Han ◽  
H White ◽  
K Bosch ◽  
M Nair
Keyword(s):  
Gastrointestinal Bleeding ◽  
Surgical Intervention ◽  
Lower Gastrointestinal Bleeding ◽  
University Hospital ◽  
British Society ◽  
Shock Index ◽  
Surgical Department ◽  
Upper Gi ◽  
Cardiovascular Comorbidities ◽  
New Guidelines

Abstract Introduction Acute lower gastrointestinal bleeding (LGIB) tends to occur in elderly patients with complex comorbidities. At North Middlesex University Hospital (NMUH), LGIB patients are primarily managed by the surgical department. We amended local policies by integrating aspects of new guidelines published by the British Society of Gastroenterology (BSG). Method Handover documentation between November 2019 and January 2020 established patients admitted with LGIB (n = 45). Further data regarding the management of these patients was collated from clinical software and compared to standards set from BSG guidelines. Results We found NMUH to be efficient in ruling out upper GI bleeds via 24-hour OGDs and had low surgical intervention rates (0.02%). 40% of patients were transfused with an admission haemoglobin above suggested NICE thresholds, accounting for cardiovascular comorbidities. 56% of patients were discharged without a documented anticoagulation plan. Over 50% of patients did not have BSG recommended inpatient investigations. Conclusions Updated Trust guidelines aim to uphold areas that NMUH were shown to excel in, while reiterating NICE transfusion thresholds and include guidance regarding anticoagulant and antiplatelet medications. The Oakland score and shock index have been integrated into local protocols and will aid clinicians in making safe decisions in the management of LGIB patients.

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