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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

Lower Gastrointestinal Hemorrhage.
Imran H, Alexander JT, Jackson CD
JAMA 2024 May 21;331(19):1666-1667. doi: 10.1001/jama.2023.25841. PMID: 38656758
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
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
Localizing Acute Lower Gastrointestinal Hemorrhage: CT Angiography Versus Tagged RBC Scintigraphy.
Feuerstein JD, Ketwaroo G, Tewani SK, Cheesman A, Trivella J, Raptopoulos V, Leffler DA
AJR Am J Roentgenol 2016 Sep;207(3):578-84. Epub 2016 Jun 15 doi: 10.2214/AJR.15.15714. PMID: 27303989

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
Colonic angiodysplasia.
Foutch PG
Gastroenterologist 1997 Jun;5(2):148-56. PMID: 9193932
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

Lower Gastrointestinal Hemorrhage.
Imran H, Alexander JT, Jackson CD
JAMA 2024 May 21;331(19):1666-1667. doi: 10.1001/jama.2023.25841. PMID: 38656758
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
Reteplase provocative visceral arteriography.
Widlus DM, Salis AI
J Clin Gastroenterol 2007 Oct;41(9):830-3. doi: 10.1097/01.mcg.0000225640.83275.23. PMID: 17881929
Lower gastrointestinal hemorrhage in African-American and Hispanic elderly patients.
Akhtar AJ
Ethn Dis 2002 Summer;12(3):379-82. PMID: 12148709
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

Computed Tomographic Evaluation of Colonic Diverticulum Complications.
BaŞtuğ BT
Curr Med Imaging 2021;17(9):1054-1058. doi: 10.2174/1573405617666210120091547. PMID: 33494679
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
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
Colonic angiodysplasia.
Foutch PG
Gastroenterologist 1997 Jun;5(2):148-56. PMID: 9193932

Clinical prediction guides

Twenty years of embolization for acute lower gastrointestinal bleeding: a meta-analysis of rebleeding and ischaemia rates.
Yu Q, Funaki B, Ahmed O
Br J Radiol 2024 May 7;97(1157):920-932. doi: 10.1093/bjr/tqae037. PMID: 38364312Free PMC Article
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
The role of 99m Tc-RBC scintigraphy in lower gastrointestinal hemorrhage.
Duraiswamy S, Schmulewitz N, Rockey DC
J Investig Med 2016 Apr;64(4):854-60. Epub 2016 Mar 8 doi: 10.1136/jim-2016-000077. PMID: 26956784
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
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

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