scholarly journals Combination of Percutaneous Transhepatic Balloon-Assisted Transjugular Intrahepatic Collateral Caval Shunt and Embolization for Successful Hemostasis of Lower Gastrointestinal Bleeding Associated With Extremely Enlarged Anorectal Varicose Veins

Cureus ◽  
2022 ◽  
Author(s):  
Christos Sotiropoulos ◽  
Eftichia Sakka ◽  
Georgia Diamantopoulou ◽  
Georgios J Theocharis ◽  
Konstantinos C Thomopoulos
Keyword(s):  
Gastrointestinal Bleeding ◽  
Varicose Veins ◽  
Lower Gastrointestinal Bleeding

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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