Lower intestinal bleeding

Lower gastrointestinal tract bleeding is a frequent cause of physician consultations and hospital admissions. Clinical presentation is predictable and significantly influences subsequent patient management. Controversy surrounding diagnosis and treatment of lower gastrointestinal bleeding results fr...

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Bibliographic Details
Published in:Baillière's best practice & research. Clinical gastroenterology 2001-02, Vol.15 (1), p.135-153
Main Authors: Lingenfelser, Thomas, Ell, Christian
Format: Article
Language:English
Subjects:
angiodysplasia
angiography
Colitis - complications
Colitis - diagnosis
Colonic Diseases, Functional - complications
Colonic Diseases, Functional - diagnosis
Colonic Neoplasms - complications
Colonic Neoplasms - diagnosis
colonoscopy
Colonoscopy - methods
Diverticulitis - complications
Diverticulitis - diagnosis
diverticulosis
Emergency Treatment
Female
gastrointestinal bleeding
Gastrointestinal Hemorrhage - diagnosis
Gastrointestinal Hemorrhage - etiology
Gastrointestinal Hemorrhage - mortality
Gastrointestinal Hemorrhage - therapy
haematochezia
haemorrhage
Humans
inflammatory bowel disease
interventional endoscopy
intraoperative endoscopy
lower gastrointestinal tract
Male
Prognosis
radionuclide scan
Recurrence
Risk Assessment
Survival Rate
transcatheter embolization
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Description
Summary:Lower gastrointestinal tract bleeding is a frequent cause of physician consultations and hospital admissions. Clinical presentation is predictable and significantly influences subsequent patient management. Controversy surrounding diagnosis and treatment of lower gastrointestinal bleeding results from a surprising lack of prospective controlled data. Thus, selection of diagnostic and therapeutic manoeuvres often depends more on local expertise and availability than on an algorithm approach. Advances in endoscopic, radiological and surgical equipment and techniques offer promising new diagnostic and therapeutic modalities, particularly in concerted applications. Outcome studies on the appropriate sequence and linking of these modalities are urgently needed. The present chapter will address clinical presentation, aetiology, diagnosis and treatment of lower gastrointestinal tract bleeding.
ISSN:1521-6918
1532-1916
DOI:10.1053/bega.2000.0160