Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips
Diverticular disease is the most frequent cause of lower gastrointestinal bleeding. Most of the times, bleeding stops without any intervention but in 10-20 % of the cases it is necessary to treat the hemorrhage. Several modalities of endoscopic treatment have been described after purging the colon. We present five cases of severe diverticular bleeding treated with injection of epinephrine and hemoclips. All the colonoscopies were performed without purging of the colon in an emergency setting, with correct visualization of the point of bleeding. Patients recovered well avoiding other aggressive procedures such as angiography or surgery.
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Sociedad Española de Patología Digestiva
2013
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oai:scielo:S1130-010820130008000102014-01-22Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclipsCouto-Worner,IgnacioGonzález-Conde,BenitoEstévez-Prieto,EmilioAlonso-Aguirre,Pedro Lower gastrointestinal bleeding Diverticular bleeding Diverticulosis Hemoclip Diverticular disease is the most frequent cause of lower gastrointestinal bleeding. Most of the times, bleeding stops without any intervention but in 10-20 % of the cases it is necessary to treat the hemorrhage. Several modalities of endoscopic treatment have been described after purging the colon. We present five cases of severe diverticular bleeding treated with injection of epinephrine and hemoclips. All the colonoscopies were performed without purging of the colon in an emergency setting, with correct visualization of the point of bleeding. Patients recovered well avoiding other aggressive procedures such as angiography or surgery.Sociedad Española de Patología DigestivaRevista Española de Enfermedades Digestivas v.105 n.8 20132013-09-01journal articletext/htmlhttp://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082013000800010en |
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Couto-Worner,Ignacio González-Conde,Benito Estévez-Prieto,Emilio Alonso-Aguirre,Pedro |
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Couto-Worner,Ignacio González-Conde,Benito Estévez-Prieto,Emilio Alonso-Aguirre,Pedro Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| author_facet |
Couto-Worner,Ignacio González-Conde,Benito Estévez-Prieto,Emilio Alonso-Aguirre,Pedro |
| author_sort |
Couto-Worner,Ignacio |
| title |
Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| title_short |
Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| title_full |
Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| title_fullStr |
Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| title_full_unstemmed |
Colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| title_sort |
colonic diverticular bleeding: urgent colonoscopy without purging and endoscopic treatment with epinephrine and hemoclips |
| description |
Diverticular disease is the most frequent cause of lower gastrointestinal bleeding. Most of the times, bleeding stops without any intervention but in 10-20 % of the cases it is necessary to treat the hemorrhage. Several modalities of endoscopic treatment have been described after purging the colon. We present five cases of severe diverticular bleeding treated with injection of epinephrine and hemoclips. All the colonoscopies were performed without purging of the colon in an emergency setting, with correct visualization of the point of bleeding. Patients recovered well avoiding other aggressive procedures such as angiography or surgery. |
| publisher |
Sociedad Española de Patología Digestiva |
| publishDate |
2013 |
| url |
http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082013000800010 |
| work_keys_str_mv |
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