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Urgent colonoscopy is not necessary in case of colonic diverticular bleeding without extravasation on contrast-enhanced computed tomography.
Sugiyama, Tomoya; Kojima, Yuki; Hirata, Yoshikazu; Ebi, Masahide; Yoshimine, Takashi; Adachi, Kazunori; Yamaguchi, Yoshiharu; Izawa, Shinya; Hijikata, Yasutaka; Funaki, Yasushi; Ogasawara, Naotaka; Sasaki, Makoto; Ohashi, Wataru; Sobue, Satoshi; Kasugai, Kunio.
Afiliación
  • Sugiyama T; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: yes.handball@gmail.com.
  • Kojima Y; Department of Gastroenterology, Kasugai Municipal Hospital, 1-1-1 Takaki, Kasugai, Aichi 486-8510, Japan. Electronic address: yukipito7@gmail.com.
  • Hirata Y; Department of Gastroenterology, Kasugai Municipal Hospital, 1-1-1 Takaki, Kasugai, Aichi 486-8510, Japan. Electronic address: yskzhtm4@gmail.com.
  • Ebi M; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: mebi@aichi-med-u.ac.jp.
  • Yoshimine T; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: yoshimine.takashi.363@mail.aichi-med-u.ac.jp.
  • Adachi K; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: k.adachi@aichi-med-u.ac.jp.
  • Yamaguchi Y; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: yamaguchi.yoshiharu.902@mail.aichi-med-u.ac.jp.
  • Izawa S; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: izawa.shinya.337@mail.aichi-med-u.ac.jp.
  • Hijikata Y; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: hijikata.yasutaka.640@mail.aichi-med-u.ac.jp.
  • Funaki Y; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: momomaru@aichi-med-u.ac.jp.
  • Ogasawara N; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: nogasa@aichi-med-u.ac.jp.
  • Sasaki M; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: msasaki@aichi-med-u.ac.jp.
  • Ohashi W; Division of Biostatistics, Clinical Research Center, Aichi Medical University, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: wohashi@aichi-med-u.ac.jp.
  • Sobue S; Department of Gastroenterology, Kasugai Municipal Hospital, 1-1-1 Takaki, Kasugai, Aichi 486-8510, Japan. Electronic address: ssobae@nn.iij4u.or.jp.
  • Kasugai K; Department of Gastroenterology, Aichi Medical University School of Medicine, 1-1 Yazakokarimata, Nagakute, Aichi 480-1195, Japan. Electronic address: kuku3487@aichi-med-u.ac.jp.
Arab J Gastroenterol ; 25(1): 22-27, 2024 Feb.
Article en En | MEDLINE | ID: mdl-37989669
BACKGROUND AND AIMS: Acute lower gastrointestinal bleeding (ALGIB) increase with age and the administration of antiplatelet drugs. Colonic diverticular bleeding (CDB) is the most common cause of ALGIB, and endoscopic hemostasis is an effective treatment for massive CDB. But in patients without extravasation on contrast-enhanced computed tomography (CECT), the efficacy of urgent colonoscopy (UCS) is controversial from the point of the clinical course, including rebleeding rate. We aimed to establish a potential strategy including UCS for CDB patients without extravasation on CECT. PATIENTS AND METHODS: Patients from two centers treated for CDB without extravasation on CECT between July 2014 and July 2019 were retrospectively identified (n = 282). Seventy-four underwent UCS, and 208 received conservative management. We conducted two analyses. The first analysis investigates the risk factors of rebleeding rate within 5 days after administration (very early rebleeding), and no UCS (NUCS) was not the independent factor of the very early rebleeding. The second analysis is whether UCS positively influenced the clinical course after hospitalization. RESULTS: The prevalence of very early rebleeding and early rebleeding (6-30 days from admission), patients requiring blood transfusion within 0-5 days and 6-30 days post-admission, and duration of hospitalization were examined as clinical course factors between UCS and NUCS group. There was no significant difference between the UCS and non-UCS groups in the clinical course factors. UCS for the CDB patients without extravasation was not improved rebleeding rate and clinical course. CONCLUSIONS: UCS is not necessary in case ofCDB patient without extravasation on CECT.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Divertículo del Colon / Enfermedades Diverticulares Límite: Humans Idioma: En Revista: Arab J Gastroenterol Año: 2024 Tipo del documento: Article Pais de publicación: Egipto
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Divertículo del Colon / Enfermedades Diverticulares Límite: Humans Idioma: En Revista: Arab J Gastroenterol Año: 2024 Tipo del documento: Article Pais de publicación: Egipto