Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding.

Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Research Abstract Details 

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Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Abstract Text:

Gustavo A Machicado,Dennis M Jensen,

Severe hematochezia is a common reason for hospitalization but the causes have changed in the last decade. Changes are in part related to the aging population, the evaluation and treatment by colonoscopists rather than surgeons or non-endoscopists, and the changes in colonoscopic practices such as piecemeal polypectomy. A careful history, physical examination, rectal examination, and nasogastric lavage may help localize the bleeding site and focus the differential diagnosis. This should be routine while resuscitating the patient. However, purging the colon for urgent colonoscopy may be the most definitive way to combine diagnosis and treatment of bleeding colonic lesions. Complete colonoscopy with intubation of the terminal ileum is recommended, and also examination of the rectum with a slotted anoscope. If those examinations are negative, a push enteroscopy is recommended for combined diagnosis and treatment. With recent advances in colonoscopic hemostasis, patients will benefit from diagnosis and treatment by experienced colonoscopists. Also, urgent colonoscopy after purge has been reported to be more cost-effective than elective colonoscopy or other strategies for diagnosis of severe hematochezia.

Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Publishing Authors By Initials

GA Machicado,DM Jensen,

For similar diagnosis: diagnostic techniques and procedures: diagnostic techniques, digestive system: endoscopy, digestive system: endoscopy, gastrointestinal: colonoscopy: sigmoidoscopy research abstracts see: diagnosis: diagnostic techniques and procedures: diagnostic techniques, digestive system: endoscopy, digestive system: endoscopy, gastrointestinal: colonoscopy: sigmoidoscopy research

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Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Journal Published:

PUBLICATION TYPE: Review

Journal: Indian journal of gastroenterology : official jour

VOLUME: 25 Suppl 1

Page Numbers: S43-51

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ISSN: 0254-8860

DAY: 3

MONTH: Nov

YEAR: 2006

Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Information

Number of References: 56

LANGUAGE: eng

NlmUniqueID: 8409436

Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding. Keywords Mesh Terms:

KEYWORDS: Sigmoidoscopy

MESH TERMS: epidemiology

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Grant and Affiliation Information for Endoscopic diagnosis and treatment of severe lower gastrointestinal bleeding.

AFFILIATION: UCLA Center for the Health Sciences, Veteran's Administration Greater Los Angeles Healthcare Center, Los Angeles, CA, USA.

Country: India

AGENCY: United States NCRR

GRANT: M01-RR 00865

ACRONYM: RR

MEDLINETA: Indian J Gastroenterol

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