Advertisement

Management of Bleeding Colitis and Colonic Diverticular Disease

  • Sebastian G. de la Fuente
  • Hardeep S. Ahluwalia
  • Alex Perez
  • John Migaly
Chapter

Abstract

Inflammatory bowel disease, infectious, or ischemic colitis can all present with lower gastrointestinal (GI) bleeding. Overall, colitis contributes to approximately 20% of all causes of lower GI bleed [1]. Bleeding from colitis is usually intermittent, self-limiting, and commonly associated with other symptoms such as diarrhea, fevers, abdominal pain

Keywords

Ulcerative Colitis Diverticular Disease Ischemic Colitis Toxic Megacolon Bleeding Source 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Vernava AM, Moore BA, Longo WE, et al. Lower gastrointestinal bleeding. Dis Colon Rectum 1997;40:846–858.CrossRefPubMedGoogle Scholar
  2. 2.
    Jobe BA, Grasley A, Deveney KE, et al. Clostridium difficile colitis: an increasing hospital-acquired illness. Am J Surg 1995;169:480–483.CrossRefPubMedGoogle Scholar
  3. 3.
    Grundfest-Broniatowski S, Quader M, Allexander F, et al. Clostridium difficile colitis in the critically ill. Dis Colon Rectum 1996;39:619–623.CrossRefPubMedGoogle Scholar
  4. 4.
    Morris JB, Zollinger RM and Stellato TA. Role of surgery in antiobiotic-induced pseudomembranous enterocolitis. Am J Surg 1990;160:535–539.CrossRefPubMedGoogle Scholar
  5. 5.
    Sartor RB. Cyclosporine therapy for inflammatory bowel disease. N Engl J Med 1994;330:1897–1898.CrossRefPubMedGoogle Scholar
  6. 6.
    Everhart JE (ed.). Digestive Diseases in the United States: Epidemiology and Impact (NIDDK). Washington, DC: US Government Printing Office; 1994, NIH Publication No. 94-1447, pp. 691–712.Google Scholar
  7. 7.
    Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage; a population-based study. Am J Gastroenterol 1997;92:419–424.PubMedGoogle Scholar
  8. 8.
    Jensen DM, Machicado GA, Jutabha R and Kovacs TO. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 2000;342:78–82.CrossRefPubMedGoogle Scholar
  9. 9.
    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 2005;100:2395–2402.CrossRefPubMedGoogle Scholar
  10. 10.
    Wilcox CM and Clark S. Causes and outcome of upper and lower gastrointestinal bleeding: The Grady Hospital experience. South Med J 1999;92:44–50.PubMedGoogle Scholar
  11. 11.
    Angtuaco TL, Reddy SK, Drapkin S, et al. 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 2001;96:1782–1785.CrossRefPubMedGoogle Scholar
  12. 12.
    Zuckerman GR and Prakash C. Acute lower intestinal bleeding. Part II: Etiology, therapy, and outcomes. Gastrointest Endosc 1999;49:228–238.CrossRefPubMedGoogle Scholar
  13. 13.
    Leitman IM, Paull DE and Shires GT. Evaluation and management of massive lower gastrointestinal hemorrhage. Ann Surg 1989;209:175–180.CrossRefPubMedGoogle Scholar
  14. 14.
    Baum S, Rosch J, Doller CT, et al. Selective mesenteric arterial infusions in the management of massive diverticular hemorrhage. N Engl J Med 1973;288:1269–1272.CrossRefPubMedGoogle Scholar
  15. 15.
    Zuckerman DA, Bocchini TP and Birnbaum EH. Massive hemorrhage in the lower gastrointestinal tract in adults: diagnostic imaging and interventions. Am J Roentgenol 1993;161:703–711.Google Scholar
  16. 16.
    Eaton AC. Emergency surgery for acute colonic haemorrhage – a retrospective study. Br J Surg 1981;68:109–112.CrossRefPubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2010

Authors and Affiliations

  • Sebastian G. de la Fuente
    • 1
  • Hardeep S. Ahluwalia
    • 2
  • Alex Perez
    • 3
  • John Migaly
    • 3
  1. 1.General Surgery Residency Training ProgramDuke University Medical CenterDurhamUSA
  2. 2.Division of Vascular SurgeryDuke University Medical CenterDurhamUSA
  3. 3.Department of SurgeryDuke University Medical CenterDurhamUSA

Personalised recommendations