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Gastrointestinal Bleeding pp 123–133Cite as

Urgent Workup of Lower Gastrointestinal Bleeding

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Abstract

Lower gastrointestinal bleeding occurs at a rate of 20 cases per 100,000 persons per year with a similar overall mortality to upper gastrointestinal bleeding. Prognosis is favorable, with the majority of bleeding episodes ceasing without intervention. The etiology of bleeding varies by age, and the correct diagnosis is paramount in subsequent management. The most common etiologies are colonic diverticulosis, benign anorectal disease, inflammatory bowel disease, malignancy, and angiodysplasia. Prompt resuscitation and implementation of critical care provide stability for subsequent diagnostics including colonoscopy, arteriography, and tagged red blood cell scan.

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References

  1. Velayos FS, Williamson A, Sousa KH, Lung E, Bostrom A, Weber EJ, Ostroff JW, Terdiman JP. Early predictors of severe lower gastrointestinal bleeding and adverse outcomes: a prospective study. Clin Gastroenterol Hepatol. 2004;2(6):485–90.

    Google Scholar 

  2. Gayer C, Chino A, Lucas C, Tokioka S, Yamasaki T, Edelman DA, Sugawa C. Acute lower gastrointestinal bleeding in 1,112 patients admitted to an urban emergency medical center. Surgery. 2009;146(4):600–6. discussion 606–7.

    Google Scholar 

  3. Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997;92(3):419–24.

    CAS  PubMed  Google Scholar 

  4. Kollef MH, O’Brien JD, Zuckerman GR, Shannon W. BLEED: a classification tool to predict outcomes in patients with acute and lower gastrointestinal hemorrhage. Crit Care Med. 1997;25(7):1125–32.

    Google Scholar 

  5. Al Qahtani AR, Satin R, Stern J, Gordon PH. Investigative modalities for massive lower gastrointestinal bleeding. World J Surg. 2002;26(5):620–5.

    Google Scholar 

  6. Edelman DA, Sugawa C. Lower gastrointestinal bleeding: a review. Surg Endosc. 2007;21(4):514–20.

    Article  PubMed  Google Scholar 

  7. Pilichos C, Bobotis E. Role of endoscopy in the management of acute diverticular bleeding. World J Gastroenterol. 2008;14(13):1981–3.

    Article  PubMed  PubMed Central  Google Scholar 

  8. Riss S, Weiser FA, Schwameis K, Riss T, Mittlböck M, Steiner G, Sift A. The prevalence of hemorrhoids in adults. Int J Colorectal Dis. 2012;27(2):215–20.

    Google Scholar 

  9. Pardi DS, Loftus Jr EV, Tremaine WJ, Sandborn WJ, Alexander GL, Balm RK, Gostout CJ. Acute major gastrointestinal hemorrhage in inflammatory bowel disease. Gastrointest Endosc. 1999;49(2):153–7.

    Google Scholar 

  10. Feinman M, Haut ER. Lower gastrointestinal bleeding. Surg Clin North Am. 2014;94(1):55–63.

    Article  PubMed  Google Scholar 

  11. Sorbi D, Norton I, Conio M, Balm R, Zinsmeister A, Gostout CJ. Postpolypectomy lower GI bleeding: descriptive analysis. Gastrointest Endosc. 2000;51(6):690–6.

    Google Scholar 

  12. Price JG, Stone NN, Stock RG. Predictive factors and management of rectal bleeding side effects following prostate cancer brachytherapy. Int J Radiat Oncol Biol Phys. 2013;86(5):842–7.

    Article  PubMed  Google Scholar 

  13. Sarin A, Safar B. Management of radiation proctitis. Gastroenterol Clin North Am. 2013;42(4):913–25.

    Article  PubMed  Google Scholar 

  14. Strate LL. Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am. 2005;34(4):643–64.

    Article  PubMed  Google Scholar 

  15. Rockey DC. Lower gastrointestinal bleeding. Gastroenterology. 2006;130(1):165–71.

    Article  PubMed  Google Scholar 

  16. National Guideline Clearinghouse. ACR Appropriateness Criteria® radiologic management of lower gastrointestinal tract bleeding. http://www.guideline.gov/content.aspx?id=49074&search=lower+gi+bleeding. Accessed 19 Dec 2015.

  17. Darcy M. Treatment of lower gastrointestinal bleeding: vasopressin infusion versus embolization. J Vasc Interv Radiol. 2003;14(5):535–43.

    Article  PubMed  Google Scholar 

  18. Howarth DM. The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med. 2006;36(2):133–46.

    Article  PubMed  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Surgery, Duke University Medical Center, Durham, NC, USA

    Megan Turner M.D. & Leila Mureebe M.D., M.P.H., F.A.C.S.

Authors
  1. Megan Turner M.D.
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  2. Leila Mureebe M.D., M.P.H., F.A.C.S.
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Corresponding author

Correspondence to Leila Mureebe M.D., M.P.H., F.A.C.S. .

Editor information

Editors and Affiliations

  1. Department of Surgery, Stony Brook Medicine, Stony Brook, New York, USA

    Aurora D. Pryor

  2. Department of Surgery, Duke University Medical Center, Durham, North Carolina, USA

    Theodore N. Pappas

  3. Division of Gastroenterology, Duke University Medical Center, Durham, North Carolina, USA

    M. Stanley Branch

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© 2016 Springer International Publishing AG

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Turner, M., Mureebe, L. (2016). Urgent Workup of Lower Gastrointestinal Bleeding. In: Pryor, A., Pappas, T., Branch, M. (eds) Gastrointestinal Bleeding. Springer, Cham. https://doi.org/10.1007/978-3-319-40646-6_11

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  • DOI: https://doi.org/10.1007/978-3-319-40646-6_11

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-40644-2

  • Online ISBN: 978-3-319-40646-6

  • eBook Packages: MedicineMedicine (R0)

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