| Endoscopic hemostasis in acute diverticular bleeding. | |
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MedLine Citation:
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PMID: 10494686 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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BACKGROUND AND STUDY AIMS: Early reports of urgent colonoscopy in acute lower intestinal bleeding suggest a role for endoscopic therapy for bleeding colonic lesions, but scant data exist on bleeding diverticula. We report our experience with endoscopic hemostasis in acute diverticular bleeding. PATIENTS AND METHODS: Bleeding diverticula were identified on urgent diagnostic endoscopy in five patients with acute gastrointestinal bleeding, two in the duodenum, and three in the colon. All patients had co-morbid conditions preventing more conventional therapeutic approaches. The five cases are described, including the technique of endoscopic hemostasis and outcome. RESULTS: Endoscopic therapy using epinephrine injection, thermal cautery and/or laser therapy successfully induced hemostasis in all patients. One patient died of co-morbid illness during the hospital stay, while the remaining four patients had no recurrent bleeding over a mean follow-up period of 20.6 months. CONCLUSION: Endoscopic therapy of bleeding diverticula is technically possible when the culprit diverticulum can be identified. This therapeutic modality may have a place in debilitated patients in whom other more invasive procedures are contraindicated, but further experience is needed to establish its safety. |
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Authors:
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C Prakash; H Chokshi; D T Walden; G Aliperti |
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Publication Detail:
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Type: Comparative Study; Journal Article |
Journal Detail:
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Title: Endoscopy Volume: 31 ISSN: 0013-726X ISO Abbreviation: Endoscopy Publication Date: 1999 Aug |
Date Detail:
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Created Date: 1999-10-19 Completed Date: 1999-10-19 Revised Date: 2010-03-24 |
Medline Journal Info:
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Nlm Unique ID: 0215166 Medline TA: Endoscopy Country: GERMANY |
Other Details:
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Languages: eng Pagination: 460-3 Citation Subset: IM |
Affiliation:
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Division of Gastroenterology, Washington University School of Medicine, St. Louis, Missouri 63110, USA. prakashc@medicine.wustl.edu |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Acute Disease Aged Aged, 80 and over Diverticulum, Colon / complications*, diagnosis Endoscopy, Digestive System Female Gastrointestinal Hemorrhage / diagnosis, etiology, therapy* Hemostasis, Endoscopic / methods* Humans Length of Stay Male Middle Aged Treatment Outcome |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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