| [Dynamic computed tomography is useful for the diagnosis and colonoscopic treatment of colonic diverticular bleeding]. | |
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MedLine Citation:
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PMID: 21307626 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We investigated whether emergency dynamic computed tomography (CT) is helpful to identify bleeding colonic diverticulum treatable by colonoscopy. We enrolled 95 consecutive patients given diagnoses of colonic diverticular bleeding at Hiroshima City Hospital in the present study, of whom 60 underwent CT before colonoscopy (CT group), and 35 underwent colonoscopy alone (CS group). In the CT group, bleeding diverticula were identified and treated by colonoscopy in 31 of 32 (96.9%) patients in whom extravasation was detected by CT. The interval between bleeding being recognized and CT (median 1.0 hours) in patients in whom extravasation was detected by CT was shorter than that in whom extravasation was not detected (median 5.0 hours). To identify and treat bleeding diverticula by colonoscopy, the use of emergency dynamic CT prior to colonoscopy is recommended. |
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Authors:
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Yoko Kominami; Hirotoki Ohe; Sayo Kobayashi; Daisuke Uchida; Norifumi Numata; Hiroshi Matsushita; Yuki Morimoto; Asuka Nakarai; Shintarou Nanba; Shigeru Ohta; Tsuneyoshi Ogawa; Manabu Kurome; Toru Ueki; Masahiro Nakagawa; Yasuyuki Araki; Motowo Mizuno |
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Publication Detail:
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Type: English Abstract; Journal Article |
Journal Detail:
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Title: Nihon Shokakibyo Gakkai zasshi = The Japanese journal of gastro-enterology Volume: 108 ISSN: 0446-6586 ISO Abbreviation: Nihon Shokakibyo Gakkai Zasshi Publication Date: 2011 Feb |
Date Detail:
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Created Date: 2011-02-10 Completed Date: 2011-05-03 Revised Date: 2011-08-02 |
Medline Journal Info:
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Nlm Unique ID: 2984683R Medline TA: Nihon Shokakibyo Gakkai Zasshi Country: Japan |
Other Details:
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Languages: jpn Pagination: 223-30 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Hiroshima City Hospital, Japan. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Aged Colonoscopy* Diverticulum, Colon / radiography*, surgery Extravasation of Diagnostic and Therapeutic Materials / radiography Female Gastrointestinal Hemorrhage / radiography*, surgery Humans Male Tomography, X-Ray Computed* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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