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Lower gastrointestinal hemorrhage

MedGen UID:
44202
•Concept ID:
C0024050
•
Pathologic Function
Synonym: Lower gastrointestinal bleeding
SNOMED CT: Lower GIT - gastrointestinal hemorrhage (87763006); Lower gastrointestinal hemorrhage (87763006); Lower gastrointestinal bleeding (87763006); Lower GI hemorrhage (87763006); Lower GI bleeding (87763006)

Definition

Bleeding from the lower gastrointestinal tract (small intestine, large intestine, and anus). [from NCI]

Professional guidelines

PubMed

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association.
Nagata N, Ishii N, Manabe N, Tomizawa K, Urita Y, Funabiki T, Fujimori S, Kaise M
Digestion 2019;99 Suppl 1:1-26. Epub 2019 Jan 9 doi: 10.1159/000495282. PMID: 30625484
Role of hemostatic powders in the management of lower gastrointestinal bleeding: A review.
Mourad FH, Leong RW
J Gastroenterol Hepatol 2018 Aug;33(8):1445-1453. Epub 2018 Mar 22 doi: 10.1111/jgh.14114. PMID: 29405446
Colonic ischemia: usual and unusual presentations and their management.
Oglat A, Quigley EM
Curr Opin Gastroenterol 2017 Jan;33(1):34-40. doi: 10.1097/MOG.0000000000000325. PMID: 27798439

Recent clinical studies

Etiology

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association.
Nagata N, Ishii N, Manabe N, Tomizawa K, Urita Y, Funabiki T, Fujimori S, Kaise M
Digestion 2019;99 Suppl 1:1-26. Epub 2019 Jan 9 doi: 10.1159/000495282. PMID: 30625484
Thirty-Day Readmissions After Upper and Lower Gastrointestinal Hemorrhage: A National Perspective in the United States.
Patel SD, Desai R, Patel U, Singh S, Patel Z, Patel N, Zhang A, Panwala AH, Khan VN, Singh G, Shah N
J Clin Gastroenterol 2019 Sep;53(8):582-590. doi: 10.1097/MCG.0000000000001020. PMID: 29561353
Prevention of Recurrent Lower Gastrointestinal Hemorrhage.
Gupta S, Greenwald DA
Gastrointest Endosc Clin N Am 2018 Jul;28(3):409-424. Epub 2018 Apr 17 doi: 10.1016/j.giec.2018.02.011. PMID: 29933784
Colonic ischemia: usual and unusual presentations and their management.
Oglat A, Quigley EM
Curr Opin Gastroenterol 2017 Jan;33(1):34-40. doi: 10.1097/MOG.0000000000000325. PMID: 27798439
Postpolypectomy colonic hemorrhage.
Gibbs DH, Opelka FG, Beck DE, Hicks TC, Timmcke AE, Gathright JB Jr
Dis Colon Rectum 1996 Jul;39(7):806-10. doi: 10.1007/BF02054448. PMID: 8674375

Diagnosis

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association.
Nagata N, Ishii N, Manabe N, Tomizawa K, Urita Y, Funabiki T, Fujimori S, Kaise M
Digestion 2019;99 Suppl 1:1-26. Epub 2019 Jan 9 doi: 10.1159/000495282. PMID: 30625484
Lower Gastrointestinal Hemorrhage.
Qayed E, Dagar G, Nanchal RS
Crit Care Clin 2016 Apr;32(2):241-54. Epub 2016 Feb 13 doi: 10.1016/j.ccc.2015.12.004. PMID: 27016165
Diverticular bleeding.
Wilkins T, Baird C, Pearson AN, Schade RR
Am Fam Physician 2009 Nov 1;80(9):977-83. PMID: 19873964
Lower gastrointestinal bleeding.
Vernava AM 3rd, Moore BA, Longo WE, Johnson FE
Dis Colon Rectum 1997 Jul;40(7):846-58. doi: 10.1007/BF02055445. PMID: 9221865
Gastrointestinal hemorrhage.
Pingleton SK
Med Clin North Am 1983 Nov;67(6):1215-31. doi: 10.1016/s0025-7125(16)31150-6. PMID: 6355683

Therapy

Role of hemostatic powders in the management of lower gastrointestinal bleeding: A review.
Mourad FH, Leong RW
J Gastroenterol Hepatol 2018 Aug;33(8):1445-1453. Epub 2018 Mar 22 doi: 10.1111/jgh.14114. PMID: 29405446
Recurrence and mortality among patients hospitalized for acute lower gastrointestinal bleeding.
Aoki T, Nagata N, Niikura R, Shimbo T, Tanaka S, Sekine K, Kishida Y, Watanabe K, Sakurai T, Yokoi C, Akiyama J, Yanase M, Mizokami M, Uemura N
Clin Gastroenterol Hepatol 2015 Mar;13(3):488-494.e1. Epub 2014 Jul 3 doi: 10.1016/j.cgh.2014.06.023. PMID: 24997327
Lower gastrointestinal hemorrhage in African-American and Hispanic elderly patients.
Akhtar AJ
Ethn Dis 2002 Summer;12(3):379-82. PMID: 12148709
Postpolypectomy colonic hemorrhage.
Gibbs DH, Opelka FG, Beck DE, Hicks TC, Timmcke AE, Gathright JB Jr
Dis Colon Rectum 1996 Jul;39(7):806-10. doi: 10.1007/BF02054448. PMID: 8674375
Emergency colonoscopy.
Rossini FP, Ferrari A, Spandre M, Cavallero M, Gemme C, Loverci C, Bertone A, Pinna Pintor M
World J Surg 1989 Mar-Apr;13(2):190-2. doi: 10.1007/BF01658398. PMID: 2658365

Prognosis

Thirty-Day Readmissions After Upper and Lower Gastrointestinal Hemorrhage: A National Perspective in the United States.
Patel SD, Desai R, Patel U, Singh S, Patel Z, Patel N, Zhang A, Panwala AH, Khan VN, Singh G, Shah N
J Clin Gastroenterol 2019 Sep;53(8):582-590. doi: 10.1097/MCG.0000000000001020. PMID: 29561353
Colonic ischemia: usual and unusual presentations and their management.
Oglat A, Quigley EM
Curr Opin Gastroenterol 2017 Jan;33(1):34-40. doi: 10.1097/MOG.0000000000000325. PMID: 27798439
Risks of Bleeding Recurrence and Cardiovascular Events With Continued Aspirin Use After Lower Gastrointestinal Hemorrhage.
Chan FK, Leung Ki EL, Wong GL, Ching JY, Tse YK, Au KW, Wu JC, Ng SC
Gastroenterology 2016 Aug;151(2):271-7. Epub 2016 Apr 26 doi: 10.1053/j.gastro.2016.04.013. PMID: 27130815
Provocative mesenteric angiography for lower gastrointestinal hemorrhage: results from a single-institution study.
Kim CY, Suhocki PV, Miller MJ Jr, Khan M, Janus G, Smith TP
J Vasc Interv Radiol 2010 Apr;21(4):477-83. Epub 2010 Feb 19 doi: 10.1016/j.jvir.2009.11.021. PMID: 20171902
Prediction of outcome in acute lower gastrointestinal hemorrhage: role of artificial neural network.
Das A, Wong RC
Eur J Gastroenterol Hepatol 2007 Dec;19(12):1064-9. doi: 10.1097/MEG.0b013e3282f198f7. PMID: 17998830

Clinical prediction guides

Thirty-Day Readmissions After Upper and Lower Gastrointestinal Hemorrhage: A National Perspective in the United States.
Patel SD, Desai R, Patel U, Singh S, Patel Z, Patel N, Zhang A, Panwala AH, Khan VN, Singh G, Shah N
J Clin Gastroenterol 2019 Sep;53(8):582-590. doi: 10.1097/MCG.0000000000001020. PMID: 29561353
Recurrence and mortality among patients hospitalized for acute lower gastrointestinal bleeding.
Aoki T, Nagata N, Niikura R, Shimbo T, Tanaka S, Sekine K, Kishida Y, Watanabe K, Sakurai T, Yokoi C, Akiyama J, Yanase M, Mizokami M, Uemura N
Clin Gastroenterol Hepatol 2015 Mar;13(3):488-494.e1. Epub 2014 Jul 3 doi: 10.1016/j.cgh.2014.06.023. PMID: 24997327
Provocative mesenteric angiography for lower gastrointestinal hemorrhage: results from a single-institution study.
Kim CY, Suhocki PV, Miller MJ Jr, Khan M, Janus G, Smith TP
J Vasc Interv Radiol 2010 Apr;21(4):477-83. Epub 2010 Feb 19 doi: 10.1016/j.jvir.2009.11.021. PMID: 20171902
Prediction of outcome in acute lower gastrointestinal hemorrhage: role of artificial neural network.
Das A, Wong RC
Eur J Gastroenterol Hepatol 2007 Dec;19(12):1064-9. doi: 10.1097/MEG.0b013e3282f198f7. PMID: 17998830
Superselective coil embolization in acute gastrointestinal hemorrhage: personal experience in 10 patients and review of the literature.
Ledermann HP, Schoch E, Jost R, Decurtins M, Zollikofer CL
J Vasc Interv Radiol 1998 Sep-Oct;9(5):753-60. doi: 10.1016/s1051-0443(98)70387-2. PMID: 9756062

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