Endoscopic hemostasis in acute diverticular bleeding.
Endoscopy
; 31(6): 460-3, 1999 Aug.
Article
em En
| MEDLINE
| ID: mdl-10494686
ABSTRACT
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 ANDMETHODS:
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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Base de dados:
MEDLINE
Assunto principal:
Hemostase Endoscópica
/
Divertículo do Colo
/
Hemorragia Gastrointestinal
Idioma:
En
Ano de publicação:
1999
Tipo de documento:
Article