scholarly journals The Most Common Cause of Lower Gastrointestinal Bleeding without Other Symptoms in Children is Colonic Polyp: Is Total Colonoscopy Needed?

2019 ◽  
Vol 52 (3) ◽  
pp. 207-208
Author(s):  
Yeoun Joo Lee ◽  
Jae Hong Park
Author(s):  
Leslie M. Kobayashi ◽  
Raul Coimbra

Lower gastrointestinal bleeding (LGIB) is a common cause of anaemia, and can be a significant cause of bleeding and hypovolaemic shock. Initial treatment should always begin with protection of the airway, fluid resuscitation, and restoration of haemodynamic stability. Early colonoscopy should be utilized for all patients with brisk bleeding and elective colonoscopy for those who are stable. An alternative to endoscopy is angiography. Surgery is reserved for patients recalcitrant to endoscopy and/or angiography, or those with poor response to resuscitation. Patients with very slow haemorrhage or with occult sources of bleeding can be diagnosed with enteroscopy and CT scanning. CT is well tolerated, rapid, and repeatable, but enteroscopy has the benefit of being potentially therapeutic. Most cases of LGIB resolve spontaneously and those that do not tend to respond well to endoscopic treatment.


2009 ◽  
Vol 98 (3) ◽  
pp. 135-142 ◽  
Author(s):  
J. Lee ◽  
T. W. Costantini ◽  
R. Coimbra

Lower gastrointestinal bleeding is a common cause for hospital admission that results in significant morbidity and mortality. After initial resuscitation of the patient, the diagnosis and treatment of lower gastrointestinal bleeding remains a challenge for acute care surgeons. Identifying the source of bleeding can be difficult since many patients bleed intermittently or stop bleeding spontaneously. It is therefore important for the acute care surgeon to be familiar with the different diagnostic and therapeutic modalities and their advantages and disadvantages in order to guide the management of the acutely bleeding patient. This review summarizes the current methods available for the diagnosis and treatment of acute lower gastrointestinal bleeding and proposes an algorithm for the management of these patients.


2020 ◽  
Author(s):  
S Machlab ◽  
P Garcia - Iglesias ◽  
E Martinez-Bauer ◽  
E Brunet ◽  
L Hernandez ◽  
...  

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

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