Severe acute lower gastrointestinal bleeding: Risk factors for morbidity and mortality

Langenbeck's Archives of Surgery

Volumn 392, Issue 2, 2007, Pages 165-171

  Ríos, Antonio ^a,b   Montoya, Mariano J ^a   Rodríguez, José M ^a   Serrano, Andrés ^a   Molina, Joaquín ^a   Ramírez, Pablo ^a   Parrilla, Pascual ^a  

^a HOSPITAL UNIVERSITARIO VIRGEN DE LA ARRIXACA   (Spain)

^b NONE   (Spain)

Author keywords

Angiodysplasia; Diverticulosis; Morbidity and mortality; Relapse; Severe acute lower gastrointestinal bleeding; Surgery

Indexed keywords

ABDOMINAL SURGERY; ADULT; AGED; ARTICLE; BLOOD TRANSFUSION; COHORT ANALYSIS; COLON RESECTION; COLONOSCOPY; COMORBIDITY; CONTROLLED STUDY; DISEASE SEVERITY; DIVERTICULOSIS; EMERGENCY WARD; ERYTHROCYTE CONCENTRATE; FEMALE; FOLLOW UP; GASTROINTESTINAL HEMORRHAGE; GASTROINTESTINAL SURGERY; HEMATOCRIT; HEMODYNAMICS; HUMAN; HYPOTENSION; INFORMATION PROCESSING; INTESTINE RESECTION; MAJOR CLINICAL STUDY; MALE; MORBIDITY; MORTALITY; OUTCOME ASSESSMENT; PRIORITY JOURNAL; PROGNOSIS; RECTUM HEMORRHAGE; RECURRENCE RISK; RELAPSE; RETROSPECTIVE STUDY; RISK FACTOR; TIME SERIES ANALYSIS;

ACUTE DISEASE; AGED; AGED, 80 AND OVER; ANGIODYSPLASIA; COMORBIDITY; DIVERTICULOSIS, COLONIC; FEMALE; GASTROINTESTINAL HEMORRHAGE; HEMATOCRIT; HOSPITAL MORTALITY; HUMANS; MALE; MIDDLE AGED; MORBIDITY; RETROSPECTIVE STUDIES; RISK FACTORS; SHOCK;

EID: 33847283984     PISSN: 14352443     EISSN: None     Source Type: Journal    
DOI: 10.1007/s00423-006-0117-6     Document Type: Article

References (38)

1. Maté J, Castaños R, García-Samaniego J, Robledo P, Sánchez P, Muñoz R, Pajares JM (1992) Hemorragia digestiva baja. Etiología y rentabilidad diagnóstica de diversas exploraciones. Un estudio sobre 2646 enfermos. Rev Esp Enferm Dig 81:15-179
2. Raoul JL (1995) Hémorragies digestives basses abondantes. Approche diagnostique et thérapeutique. Gastroenterol Clin Biol 19:41-46
3. Zuckerman GR, Prakash C (1999) Acute lower intestinal bleeding. Part II: etiology, therapy, and outcomes. Gastrointest Endosc 49:228-238
4. Strate LL, Orav EJ, Syngal S (2003) Early predictors of severity in acute lower intestinal tract bleeding. Arch Intern Med 163:838-843
5. Velayos FS, Williamson A, Sousa KH, Lung E, Bostrom A, Weber EJ, Ostroff JW, Terdiman JP (2004) Early predictors of severe lower gastrointestinal bleeding and adverse outcomes: a prospective study. Clin Gastroenterol Hepatol 2:485-490
6. Zuccaro G Jr (1998) Management of the adult patient with acute lower gastrointestinal bleeding. Am J Gastroenterol 93:1202-1208
7. Jensen DM, Machicado CA (1988) Diagnosis and treatment of severe hematochezia. Gastroenterology 95:1569-1574
8. Fernández E, Linares A, Alonso JL, Sotorrio NG, de la Vega J, Artimez ML, Giganto F, Rodríguez M, Rodrigo L (1996) Hallazgos colonoscópicos en pacientes con hemorragia digestiva baja remitidos a un hospital para su estudio. Valor de los datos clínicos para predecir hallazgos normales o patológicos. Rev Esp Enferm Dig 88:16-20
9. Arya N, Marcon NE (2004) Endoscopic management of lower gastrointestinal bleeding. Curr Treat Options Gastroenterol 7:241-247
10. García MV, González A, López P, Gálvez C, Naranjo A, de Díos J, Miño G (2001) Rendimiento de la colonoscopia precoz en la hemorragia digestiva baja aguda grave. Gastroenterol Hepatol 24:327-332
11. Balén EM, Herrera J, Ariceta J, Montón S, Abascal L, Calvo A, Iñigo JJ, Lera JM (2003) Eficacia de un protocolo de manejo de la hemorragia digestiva baja grave. Cir Esp 73:95-103
12. Strate LL, Syngal S (2003) Timing of colonoscopy: impact on length of hospital stay in patients with acute lower intestinal bleeding. Am J Gastroenterol 98:317-322
13. Wong JL, Dalton HR (2001) Urgent endoscopy in lower gastrointestinal bleeding. Gut 48:155-156
14. Jensen DM, Machicado GA, Jutabha R, Kovacs TO (2000) Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 342:78-82
15. Ohyama T, Sakurai Y, Ito M et al (2000) Analysis of urgent colonoscopy for lower gastrointestinal tract bleeding. Digestion 61:189-192
16. Prakash C, Chokshi H, Walden DT, Aliperti G (1999) Endoscopic hemostasis in acute diverticular bleeding. Endoscopy 31:460-463
17. Yoshikane H, Sakakibara S, Ayakawa T, Watanabe M, Hashimoto S, Mori S, Hidano H (1997) Hemostasis by capping bleeding diverticulum of the colon with clips. Endoscopy 29:33-34
18. American Society for Gastrointestinal Endoscopy (1998) The role of endoscopy in the patient with lower gastrointestinal bleeding. Gastrointest Endosc 48:685-688
19. Angtuaco TL, Reddy SK, Drapkin S, Harrell L, Howden CW (2001) 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 96:1782-1785
20. Gady JS, Reynolds H, Blum A (2003) Selective embolization for control of lower gastrointestinal bleeding: recommendations for a clinical management pathway. Curr Surg 60:344-347
21. Rajan R, Dhar P, Praseedom RK, Sudhindran S, Moorthy S (2004) Role of contrast CT in acute lower gastrointestinal bleeding. Dig Surg 21:293-296
22. Vernava AM, Moore BA, Longo WE, Johnson FE (1997) Lower gastrointestinal bleeding. Dis Colon Rectum 40:846-858
23. Longstreth GF (1997) Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 92:419-424
24. Bloomfeld RS, Rockey DC, Shetzline MA (2001) Endoscopic therapy of acute diverticular hemorrhage. Am J Gastroenterol 96:2367-2372
25. Enns R (2001) Acute lower gastrointestinal bleeding: part 2. Can J Gastroenterol 15:517-521
26. Enns R (2001) Acute lower gastrointestinal bleeding: part 1. Can J Gastroenterol 15:509-516
27. Funaki B (2002) Endovascular intervention for the treatment of acute arterial gastrointestinal hemorrhage. Gastroenterol Clin North Am 31:701-713
28. Lefkovitz Z, Cappell MS, Lookstein R, Mitty HA, Gerard PS (2002) Radiologic diagnosis and treatment of gastrointestinal hemorrhage and ischemia. Med Clin North Am 86:1357-1399
29. Ríos A, Capel A, del Pozo M (2004) Hemorragia digestiva baja masiva tratada mediante embolización superselectiva. Gastroenterol Hepatol 27:345-346
30. Anand AC, Patnaik PK, Bhalla VP, Chaudhary R, Saha A, Rana VS (2001) Massive lower intestinal bleeding a decade of experience. Trop Gastroenterol 22:131-134
31. De Franco A, Celi G, Restaino G, Foschi R, Vecchioli A, Marano P (2002) Imaging of small bowel tumors. Rays 27:35-50
32. Rossini FP, Pennazio M (2000) Small bowel endoscopy. Endoscopy 32:138-145
33. Kollef MH, O'Brien JD, Zuckerman GR, Shannon W (1997) BLEED: a classification tool to predict outcomes in patients with acute upper and lower gastrointestinal hemorrhage. Crit Care Med 25:1125-1132
34. Happe MR, Woodworth PA (2003) Meckel's diverticulum in an adult gastrointestinal bleed. Am J Surg 186:132-133
35. Brackman MR, Gushchin VV, Smith L, Demory M, Kirkpatrick JR, Stahl T (2003) Acute lower gastroenteric bleeding retrospective analysis (the ALGEBRA study): an analysis of the triage, management and outcomes of patients with acute lower gastrointestinal bleeding. Am Surgeon 69:145-149
36. Manku K, Bacchetti P, Leung JM (2003) Prognostic significance of postoperative in hospital complications in elderly patients. I. Long term survival. Anesth Analg 96:583-589
37. Hussain H, Lapin S, Cappell MS (2000) Clinical scoring systems for determining the prognosis of gastrointestinal bleeding. Gastroenterol Clin North Am 29:445-464
38. Simoens CH, Mendes da Costa P (2003) Surgical management of recurrent colon haemorrhage of unknown origin. Acta Chir Belg 103:481-484