Document Detail

Right-sided colonic diverticular disease as a source of lower gastrointestinal bleeding.
MedLine Citation:
PMID:  10190349     Owner:  NLM     Status:  MEDLINE    
Right-sided colonic diverticular disease is a distinct disease entity uncommon in the West. Occasionally, the condition may be complicated by hemorrhage and present as lower gastrointestinal bleeding. We report a series of 25 cases of bleeding right colon diverticulosis and discuss its presentation and management. Patients were selected from the colonoscopic reports of all 190 patients presented with suspected acute lower gastrointestinal bleeding in National University Hospital, Singapore, from 1988 to 1994. Fifty-seven patients (30%) had bleeding diverticulosis in which 25 patients (44%) suffered from right-sided disease. Sixty-four per cent of patients had a history of hypertension. Patients presented with either fresh blood in stools or melena. Fifteen patients (60%) required blood transfusion (median, 2 units). Colonoscopy showed blood clots in the right colon in 15 cases (60%) and active bleeding from the right colon diverticula in 3 patients (12%). The bleeding stopped spontaneously in 16 patients (64%). The other 9 patients required surgery because of continuous or recurrent bleeding. All had a right hemicolectomy performed. The hospital stay was 13 days in this group, compared with 5 days for those undergoing conservative treatment (P = 0.0004). There were no deaths. No patients had further bleeding episodes during a median 7-month follow-up.
J B So; K Kok; S S Ngoi
Related Documents :
4089529 - Anti-fibrinolytic therapy with aminocaproic acid for the control of bleeding in thrombo...
19776579 - Coexisting gastric varices should not preclude prophylactic ligation of large esophagea...
12838239 - Fundal variceal bleeding after correction of portal hypertension in patients with cirrh...
8938889 - Epistaxis in hereditary haemorrhagic telangiectasia.
10824879 - Rapid urease test is less sensitive than histology in diagnosing helicobacter pylori in...
12148709 - Lower gastrointestinal hemorrhage in african-american and hispanic elderly patients.
1142009 - Selenium levels in human blood and tissues in health and in disease.
19183759 - Compliance of the aorta in two diseases affecting vascular elasticity, familial hyperch...
1270159 - Lymphocyte stimulation and plasma inhibition in patients with malignant neoplasms. a co...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American surgeon     Volume:  65     ISSN:  0003-1348     ISO Abbreviation:  Am Surg     Publication Date:  1999 Apr 
Date Detail:
Created Date:  1999-04-15     Completed Date:  1999-04-15     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0370522     Medline TA:  Am Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  299-302     Citation Subset:  IM    
Department of Surgery, National University Hospital, National University of Singapore, Republic of Singapore, Hong Kong.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Acute Disease
Aged, 80 and over
Diverticulum, Colon / complications*,  diagnosis,  therapy
Gastrointestinal Hemorrhage / diagnosis,  etiology*,  therapy
Middle Aged

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Maternal age and educational and psychosocial outcomes in early adulthood.
Next Document:  What is the paradigm: hospital or home health care for pressure ulcers?