Lower Gastrointestinal Hemorrhage

被引：20

作者：

Qayed, Emad ^{[1
]}

Dagar, Gaurav ^{[2
]}

Nanchal, Rahul S. ^{[3
]}

机构：

[1] Emory Univ, Sch Med, Grady Mem Hosp, 49 Jesse Hill Jr Dr, Atlanta, GA 30303 USA

[2] Med Coll Wisconsin, Div Pulm & Crit Care Med, Milwaukee, WI 53188 USA

[3] Div Pulm & Crit Care Med, Crit Care Fellowship Program, Med Intens Care Unit, Suite E 5200,9200 West Wisconsin Ave, Milwaukee, WI 53226 USA

来源：

CRITICAL CARE CLINICS | 2016年 / 32卷 / 02期

关键词：

Lower gastrointestinal bleeding; Colonoscopy; Diverticulosis; Angiography; URGENT COLONOSCOPY; CAPSULE ENDOSCOPY; RISK-FACTORS; NATURAL-HISTORY; MANAGEMENT; DIAGNOSIS; EPIDEMIOLOGY; EXPERIENCE; PATIENT; HOSPITALIZATION;

D O I：

10.1016/j.ccc.2015.12.004

中图分类号：

R4 [临床医学];

学科分类号：

100218 [急诊医学];

摘要：

Lower gastrointestinal bleeding (LGIB) is a frequent reason for hospitalization especially in the elderly. Patients with LGIB are frequently admitted to the intensive care unit and may require transfusion of packed red blood cells and other blood products especially in the setting of coagulopathy. Colonoscopy is often performed to localize the source of bleeding and to provide therapeutic measures. LGIB may present as an acute life threatening event or as a chronic insidious condition manifesting as iron deficiency anemia and positivity for fecal occult blood. This article discusses the presentation, diagnosis, and management of LGIB with a focus on conditions that present with acute blood loss.

引用

页码：241 / +

页数：16

共 48 条

[1]

The utility of urgent colonoscopy in the evaluation of acute lower gastrointestinal tract bleeding: A 2-year experience from a single center [J].

Angtuaco, TL ;

Reddy, SK ;

Drapkin, S ;

Harrell, LE ;

Howden, CW .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2001, 96 (06) :1782-1785

[2]

Diagnosis and management of lower gastrointestinal bleeding [J].

Barnert, Juergen ;

Messmann, Helmut .

NATURE REVIEWS GASTROENTEROLOGY & HEPATOLOGY, 2009, 6 (11) :637-646

[3]

Brandt LJ, 2015, AM J GASTROENTEROL, V110, P18, DOI [10.1038/ajg.2014.295, 10.1038/ajg.2014.395]

[4]

Anatomic Patterns, Patient Characteristics, and Clinical Outcomes in Ischemic Colitis: A Study of 313 Cases Supported by Histology [J].

Brandt, Lawrence J. ;

Feuerstadt, Paul ;

Blaszka, Matthew C. .

AMERICAN JOURNAL OF GASTROENTEROLOGY, 2010, 105 (10) :2245-2252

[5]

Chaudhry V, 1998, AM SURGEON, V64, P723

[6]

Prediction of outcome in acute lower-gastrointestinal haemorrhage based on an artificial neural network: internal and external validation of a predictive model [J].

Das, A ;

Ben-Menachem, T ;

Cooper, GS ;

Chak, A ;

Sivak, MV ;

Gonet, JA ;

Wong, RCK .

LANCET, 2003, 362 (9392) :1261-1266

[7]

ASGE guideline: the role of endoscopy in the patient with lower-GI bleeding [J].

Davila, RE ;

Rajan, E ;

Adler, DG ;

Egan, J ;

Hirota, WK ;

Leighton, JA ;

Qureshi, W ;

Zuckerman, MJ ;

Fanelli, R ;

Wheeler-Harbaugh, J ;

Baron, TH ;

Faigel, DO .

GASTROINTESTINAL ENDOSCOPY, 2005, 62 (05) :656-660

[8]

Enteroscopes [J].

DiSario, James A. ;

Petersen, Bret T. ;

Tierney, William M. ;

Adler, Douglas G. ;

Chand, Bipan ;

Conway, Jason D. ;

Coffie, Joseph M. B. ;

Mishkin, Daniel S. ;

Shah, Raj J. ;

Somogyi, Lehel ;

Song, Louis Michel Wong Kee .

GASTROINTESTINAL ENDOSCOPY, 2007, 66 (05) :872-880

[9]

Eisen GM, 2001, GASTROINTEST ENDOSC, V53, P859

[10]

Review article: the management of lower gastrointestinal bleeding [J].

Farrell, JJ ;

Friedman, LS .

ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2005, 21 (11) :1281-1298

← 1 2 3 4 5 →