Lower gastrointestinal bleeding - Management

Gastroenterology Clinics of North America

Volumn 34, Issue 4, 2005, Pages 665-678

  Green, Bryan T ^a,c   Rockey, Don C ^b  

^a DUKE UNIVERSITY MEDICAL CENTER   (United States)

^b UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL CENTER   (United States)

^c Digestive Diseases Group   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN; ANTIBIOTIC AGENT; ANTICOAGULANT AGENT; ELECTROLYTE; ESTROGEN; ETHANOLAMINE; FIBRINOLYTIC AGENT; HEART ENZYME; HEPARIN; INFLIXIMAB; MESALAZINE; NONSTEROID ANTIINFLAMMATORY AGENT; SCLEROSING AGENT; STEROID; SUCRALFATE;

ANAMNESIS; ANGIOGRAPHY; ARGON PLASMA COAGULATION; BLOOD CELL COUNT; BLOOD CLOTTING; BLOOD CLOTTING DISORDER; BLOOD GROUP TYPING; BLOOD VESSEL ECTASIA; BLOOD VOLUME; BODY POSTURE; CENTRAL VENOUS CATHETER; COLITIS; COLON DISEASE; COLON DIVERTICULOSIS; COLONOSCOPY; COMORBIDITY; CONSERVATIVE TREATMENT; CROHN DISEASE; DEFECATION; DISEASE SEVERITY; DIVERTICULOSIS; DYSPNEA; ELECTROCARDIOGRAPHY MONITORING; ENDOSCOPIC THERAPY; FECES ANALYSIS; FECES COLOR; GASTROINTESTINAL HEMORRHAGE; HEART DISEASE; HEART PALPITATION; HEART RATE; HEMODYNAMICS; HEMORRHOID; HORMONAL THERAPY; HUMAN; HYPERBARIC OXYGEN; INFECTION; INFLAMMATORY DISEASE; INTRAVENOUS CATHETER; ISCHEMIC COLITIS; LABORATORY TEST; LIVER DISEASE; LOWER GASTROINTESTINAL TRACT BLEEDING; MEDICAL EXAMINATION; OCCULT BLOOD; PALLOR; PATIENT CARE; POLYPECTOMY; POSTOPERATIVE HEMORRHAGE; RADIATION COLITIS; RESUSCITATION; REVIEW; SYNCOPE; SYSTOLIC BLOOD PRESSURE; TACHYCARDIA; THORAX PAIN; THROMBOCYTE TRANSFUSION; THROMBOCYTOPENIA;

ALGORITHMS; ANGIOGRAPHY; CLINICAL TRIALS; COLONOSCOPY; GASTROINTESTINAL HEMORRHAGE; HEMOSTASIS, ENDOSCOPIC; HUMANS; INTESTINAL DISEASES; TREATMENT OUTCOME;

EID: 27844493733     PISSN: 08898553     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.gtc.2005.10.001     Document Type: Review

References (91)

1. Rockey DC. Gastrointestinal bleeding. In: Feldman M, Friedman LS, Sleisenger MH, editors. Sleisenger and Fordra's gastrointestinal and liver disease. 7th edition. Philadelphia: Saunders; 2002. p. 211-48.
2. Committee on Trauma American College of Surgeons. Advanced trauma life support 5th edition. 1993 American College of Surgeons Chicago (IL) p. 84
3. B.T. Green, and D.C. Rockey Acute gastrointestinal bleeding Semin Gastrointest Dis 14 2003 44 65
4. A.E. Clason, D.A. Macleod, and R.A. Elton Clinical factors in the prediction of further haemorrhage or mortality in acute upper gastrointestinal haemorrhage Br J Surg 73 1986 985 987
5. D. Provenzale, R.S. Sandler, and D.R. Wood Development of a scoring system to predict mortality from upper gastrointestinal bleeding Am J Med Sci 294 1987 26 32
6. T.A. Rockall, R.F. Logan, and H.B. Devlin Risk assessment after acute upper gastrointestinal haemorrhage Gut 38 1996 316 331
7. J. Zimmerman, J. Siguencia, and E. Tsvang Predictors of mortality in patients admitted to hospital for acute upper gastrointestinal hemorrhage Scand J Gastroenterol 30 1995 327 331
8. L.L. Strate, E.J. Orav, and S. Syngal Early predictors of severity in acute lower intestinal tract bleeding Arch Intern Med 163 7 2003 838 843
9. F.S. Velayos, A. Williamson, and K.H. Sousa Early predictors of severe lower gastrointestinal bleeding and adverse outcomes: a prospective study Clin Gastroenterol Hepatol 2 6 2004 485 490
10. D.M. Jensen, and G.A. Machicado Diagnosis and treatment of severe hematochezia: the role of urgent colonoscopy after purge Gastroenterology 95 1988 1569 1574
11. G.D. Luk, T.E. Bynum, and T.R. Hendrix Gastric aspiration in localization of gastrointestinal hemorrhage JAMA 241 1979 576 578
12. R.E. Cuellar, J.S. Gavaler, and J.A. Alexander Gastrointestinal tract hemorrhage. The value of a nasogastric aspirate Arch Intern Med 150 1990 1381 1384
13. G.M. Eisen, J.A. Dominitz, and D.O. Faigel An annotated algorithmic approach to acute lower gastrointestinal bleeding Gastrointest Endosc 53 2001 859 863
14. G. Zuccaro Management of the adult patient with acute lower gastrointestinal bleeding Am J Gastroenterol 93 1998 1202 1208
15. G.R. Zuckerman, and C. Prakash Acute lower intestinal bleeding: part I: clinical presentation and diagnosis Gastrointest Endosc 48 1998 606 617
16. J.J. Farrell, and L.S. Friedman Review article: the management of lower gastrointestinal bleeding Aliment Pharmacol Ther 21 2005 1281 1298
17. V. Chaudhry, M.J. Hyser, and V.H. Gracias Colonoscopy: the initial test for acute lower gastrointestinal bleeding Am Surg 64 1998 723 728
18. K.Y. Kok, C.K. Kum, and P.M. Goh Colonoscopic evaluation of severe hematochezia in an Oriental population Endoscopy 30 1998 675 680
19. D.M. Jensen, G.A. Machicado, and R. Jutabha Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage N Engl J Med 342 2000 78 82
20. T.L. Angtuaco, S.K. Reddy, and S. Drapkin The utility of urgent colonoscopy in the evaluation of acute lower gastrointestinal tract bleeding: a 2-year experience from a single center Am J Gastroenterol 96 6 2001 1782 1785
21. Green BT, Rockey DC, Portwood G, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol, in press.
22. D.M. Jenson GI endoscopic hemostasis and tumor treatment- experimental results and techniques D.M. Jensen J.M. Brunetaud Medical laser endoscopy. Dordrecht (the Netherlands) 1990 Kluwer Academic 45 70
23. D.M. Jensen, and G.A. Machicado Control of bleeding J.B. Raskin H.J. Nord Colonoscopy: principles and techniques 1995 Igaku-Shoin New York 317 332
24. D.M. Jensen, T.O.G. Kovacs, and R. Jutabha A safe and effective technique for endoscopic removal of adherent clots from GI lesions: cold guillotining after epinephrine injection [abstract] Gastrointest Endosc 43 1996 297
25. R.S. Bloomfeld, M. Shetzline, and D. Rockey Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage N Engl J Med 342 2000 1608 1611
26. J.J. Johnston, and J. Sones Endoscopic heater probe coagulation of the bleeding colonic diverticulum [abstract] Gastrointest Endosc 84 1986 AB168
27. Ramirez FC, Johnson DA, Zierer AT, et al. Successful endoscopic hemostasis of bleeding colonic diverticula with epinephrine injection. Gastrointest Endosc 1996;43:167-70.
28. Y. Kim, and N.E. Marcon Injection therapy for colonic diverticular bleeding: a case report J Clin Gastroenterol 17 1993 46 48
29. H.J. Andress, A. Mewes, and V. Lange Endoscopic hemostasis of a bleeding diverticulum of the sigma with fibrin sealant Endoscopy 25 1993 193
30. G. Bertoni, R. Conigliaro, and E. Ricci Endoscopic injection hemostasis of colonic diverticular bleeding: a case report Endoscopy 22 1990 202
31. T.J. Savides, and D.M. Jensen Colonoscopic hemostasis for recurrent diverticular hemorrhage associated with a visible vessel: a report of three cases Gastrointest Endosc 40 1994 70 73
32. C. Prakash, H. Chokshi, and D.T. Walden Endoscopic hemostasis in acute diverticular bleeding Endoscopy 31 1999 460 463
33. P.G. Foutch, and K. Zimmerman Diverticular bleeding and the pigmented protuberance (sentinel clot): clinical implications, histopathological correlation, and results of endoscopic intervention Am J Gastroenterol 91 1996 2589 2593
34. A. Hokama, T. Uehara, and T. Nakayoshi Utility of endoscopic hemoclipping for colonic diverticular bleeding Gastrointest Endosc 92 1997 543 546
35. Farrell JJ, Graeme-Cook F, Kelsey PB. Treatment of bleeding colonic diverticula by endoscopic band ligation: an in-vivo and ex-vivo pilot study. Endoscopy 2003;35:823-9.
36. G.H. Elta Urgent colonoscopy for acute lower GI bleeding Gastrointest Endosc 59 2004 402 408
37. W. Browder, E.J. Cerise, and M.S. Litwin Impact of emergency angiography in massive lower gastrointestinal bleeding Ann Surg 204 1986 530 536
38. R.A. Clark, D.P. Colley, and F.M. Eggers Acute arterial gastrointestinal hemorrhage: efficacy of transcatheter control AJR Am J Roentgenol 136 1981 1185 1189
39. H.P. Ledermann, E. Schoch, and R. Jost Super selective coil embolization in acute gastrointestinal hemorrhage: personal experience in 10 patients and review of the literature J Vasc Interv Radiol 9 1998 753 760
40. D.J. Peck, R.F. McLoughlin, and M.N. Hughson Percutaneous embolotherapy of lower gastrointestinal hemorrhage J Vasc Interv Radiol 9 1998 747 751
41. J. DeBarros, L. Rosas, and J. Cohen The changing paradigm for the treatment of colonic hemorrhage: super selective angiographic embolization Dis Colon Rectum 45 2002 802 808
42. W.T. Kuo, D.E. Lee, and W.E. Saad Super selective microcoil embolization for the treatment of lower gastrointestinal hemorrhage J Vasc Interv Radiol 14 2003 1503 1509
43. D.M. Jensen, and G.A. Machicado Colonoscopy for diagnosis and treatment of severe lower gastrointestinal bleeding. Routine outcomes and cost analysis Gastrointest Endosc Clin N Am 7 1997 477 498
44. H.H. McGuire Bleeding colonic diverticula. A reappraisal of natural history and management Ann Surg 220 1994 653 656
45. R.S. Bloomfeld, and D.R. Rockey Diagnosis and management of lower gastrointestinal bleeding Curr Opin Gastroenterol 16 2000 89 97
46. G.R. Voeller, G. Bunch, and L.G. Britt Use of technetium-labeled red blood cell scintigraphy in the detection and management of gastrointestinal hemorrhage Surgery 110 1991 799 804
47. R. Gunderman, J. Leef, and K. Ong Scintigraphic screening prior to visceral arteriography in acute lower gastrointestinal bleeding J Nucl Med 39 1998 1081 1083
48. W.P. Pennoyer, P.V. Vignati, and J.L. Cohen Mesenteric angiography for lower gastrointestinal hemorrhage: are there predictors for a positive study? Dis Colon Rectum 40 1997 1014 1018
49. N. Hyman, and J.D. Waye Endoscopic four quadrant tattoo for the identification of colonic lesions at surgery Gastrointest Endosc 37 1991 56 58
50. M. Bokhari, A.M. Vernava, and T. Ure Diverticular hemorrhage in the elderly-is it well tolerated? Dis Colon Rectum 39 1996 191 195
51. H.E. Wagner, S.C. Stain, and M. Gilg Systematic assessment of massive bleeding of the lower part of the gastrointestinal tract Surg Gynecol Obstet 175 1992 445 449
52. B.M. Parkes, F.N. Obeid, and V.J. Sorensen The management of massive lower gastrointestinal bleeding Am Surg 59 1993 676 678
53. J.M. Richter, S.E. Hedberg, and C.A. Athanasoulis Angiodysplasia: clinical presentation and colonoscopic diagnosis Dig Dis Sci 29 1984 481 485
54. B.C. Bounds, and L.S. Friedman Lower gastrointestinal bleeding Gastroenterol Clin N Am 32 2003 1107 1125
55. L.J. Brandt, and M.K. Spinnell Ability of naloxone to enhance the colonoscopic appearance of normal colon vasculature and colon vascular ectasias Gastrointest Endosc 49 1999 79 83
56. N. Gupta, W.E. Longo, and A.M. Vernava Angiodysplasia of the lower gastrointestinal tract: an entity readily diagnosed by colonoscopy and primarily managed nonoperatively Dis Colon Rectum 38 1995 979 982
57. P.J. Wahab, C.J. Mulder, and G. den Hartog Argon plasma coagulation in flexible gastrointestinal endoscopy: pilot experiences Endoscopy 29 1997 176 181
58. W. Johanns, W. Luis, and J. Janssen Argon plasma coagulation (APC) in gastroenterology: experimental and clinical experiences Eur J Gastroenterol Hepatol 9 1997 581 587
59. G.A. Bemvenuti, and M.M. Julich Ethanolamine injection for sclerotherapy of angiodysplasia of the colon Endoscopy 30 1998 564 569
60. P.T. Evangelista, and M.J. Hallisey Transcatheter embolization for acute lower gastrointestinal hemorrhage J Vasc Interv Radiol 11 2000 601 606
61. G.R. Zuckerman, and C. Prakash Acute lower intestinal bleeding. Part II: etiology, therapy, and outcomes Gastrointest Endosc 49 1999 228 238
62. J. DeBarros, L. Rosas, and J. Cohen The changing paradigm for the treatment of colonic hemorrhage: super selective angiographic embolization Dis Colon Rectum 45 2002 802 808
63. M.A. Shetzline, P. Suhocki, and R. Dash Provocative angiography in obscure gastrointestinal bleeding South Med J 93 12 2000 1205 1208
64. B.S. Lewis, P. Salomon, and S. Rivera-MacMurray Does hormonal therapy have any benefit for bleeding angiodysplasia? J Clin Gastroenterol 15 1992 99 103
65. J.S. Barkin, and B.S. Ross Medical therapy for chronic gastrointestinal bleeding of obscure origin Am J Gastroenterol 93 1998 1250 1254
66. G.M. Randall, D.M. Jensen, and G.A. Machicado Prospective randomized comparative study of bipolar versus direct current electrocoagulation for treatment of bleeding internal hemorrhoids Gastrointest Endosc 40 1994 403 410
67. Green BT, Tendler DA. Ischemic colitis: a clinical review. South Med J 2005;98:217-22.
68. D.S. Pardi, E.V. Loftus, and W.J. Tremaine Acute major gastrointestinal hemorrhage in inflammatory bowel disease Gastrointest Endosc 49 1999 153 157
69. T. Tsujikawa, R. Nezu, and A. Andoh Inflixmab as a possible treatment for the hemorrhagic type of Crohn's disease J Gastroenterol 39 3 2004 284 287
70. C. Papi, L. Gili, and M. Tarquini Infliximab for severe recurrent Crohn's disease presenting with massive gastrointestinal hemorrhage J Clin Gastroenterol 36 3 2003 238 241
71. E.J. Bini, E.H. Weinshel, and D.B. Falkenstein Risk factors for recurrent bleeding and mortality in human immunodeficiency virus infected patients with acute lower GI hemorrhage Gastrointest Endosc 49 1999 748 753
72. S. Stylianos, K.A. Forde, and A.I. Benvenisty Lower gastrointestinal hemorrhage in renal transplant recipients Arch Surg 123 1988 739 744
73. B.T. Green, J. Tuttle-Newhall, and P. Suhocki Massive gastrointestinal hemorrhage due to rupture of a donor pancreatic artery pseudoaneurysm in a pancreas transplant patient Clin Transplant 18 1 2004 108 111
74. R. Kochhar, S.C. Sharma, and B.B. Gupta Rectal sucralfate in radiation proctitis Lancet 2 1988 400
75. T. Sasai, H. Hiraishi, and Y. Suzuki Treatment of chronic post-radiation proctitis with oral administration of sucralfate Am J Gastroenterol 93 1998 1593 1595
76. A.D. Stockdale, and A. Biswas Long-term control of radiation proctitis following treatment with sucralfate enemas Br J Surg 84 1997 379
77. J. Lee Radiation proctitis - a niche for the argon plasma coagulator Gastrointest Endosc 56 2002 779 781
78. A.S. Denton, H.J. Andreyev, and A. Forbes Systematic review for nonsurgical interventions for the management of late radiation proctitis Br J Cancer 87 2002 134 143
79. S. Taieb, A. Rolachon, and J.C. Cenni Effective use of argon plasma coagulation in the treatment of severe radiation proctitis Dis Colon Rectum 44 2001 1766 1771
80. T.R. Viggiano, J. Zighelboim, and D.A. Ahlquist Endoscopic Nd:YAG laser coagulation of bleeding from radiation proctopathy Gastrointest Endosc 39 1993 513 517
81. J.G. Taylor, J.A. Disario, and D.J. Bjorkman KTP laser therapy for bleeding from chronic radiation proctopathy Gastrointest Endosc 52 2000 353 357
82. J.M. Canard, B. Vedrenne, and G. Bors Long-term results of treatment of hemorrhagic radiation proctitis by argon plasma coagulation Gastroenterol Clin Biol 27 5 2003 455 459
83. J.D. Waye, O. Kahn, and M.E. Auerbach Complications of colonoscopy and flexible sigmoidoscopy Gastrointest Endosc Clin N Am 6 1996 343 377
84. D.K. Rex, B.S. Lewis, and J.D. Waye Colonoscopy and endoscopic therapy for delayed post-polypectomy hemorrhage Gastrointest Endosc 38 1992 127 129
85. M. Sobrino-Faya, S. Martinez, and M. Gomez Balado Clips for the prevention and treatment of postpolypectomy bleeding (hemoclips in polypectomy) Rev Esp Enferm Dig 94 2002 457 462
86. J.C. Brooker, B.P. Saunders, and S.G. Shah Treatment with argon plasma coagulation reduces recurrence after piecemeal resection of large sessile colonic polyps: a randomized trial and recommendations Gastrointest Endosc 55 2002 371 375
87. A. Parra-Blanco, N. Kaminaga, and T. Kojima Hem clipping for postpolypectomy and postbiopsy colonic bleeding Gastrointest Endosc 51 2000 37 41
88. J.C. Ardengh, A.P. Ferrari, and A.J. Ganc Endoscopic banding ligation and postpolypectomy bleeding Endoscopy 31 1999 S61
89. J.M. Dumonceau, and J. Deviere Early rebleeding after successful hem clipping of a postpolypectomy rectal ulcer Endoscopy 31 1999 S54 S55
90. Y. Uno, K. Satoh, K. Tuji, and T. Wada Endoscopic ligation by means of clip and detachable snare for management of colonic postpolypectomy hemorrhage Gastrointest Endosc 49 1999 113 115
91. J.D. Waye Management of complications of colonoscopic polypectomy Gastroenterologist 1 1993 158 164