[The role of emergency endoscopy in acute lower intestinal hemorrhage].
The diagnostic procedures performed in patients with acute lower intestinal haemorrhage were analyzed retrospectively. During a three year period 35 patients with acute rectal bleeding were admitted and these patients underwent altogether 79 endoscopies, 7 visceral angiographies and 7 labeled red cell scintigraphies. The bleeding source was identified by endoscopy in 31 (89%) patients and remained undetermined in 4 (11%). The most common lesions responsible for the bleeding were diverticula, ischemic colonopathy and tumors. Despite the clinical impression of lower GI-tract haemorrhage 4 patients (11%) bled from the upper GI-tract. We conclude that emergency gastroscopy and colonoscopy, performed in the intensive care unit, are the procedures of choice for the investigation of the patient with acute lower GI-tract bleeding.
Abteilung für Gastroenterologie, Kantonsspital Basel.
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B
Meyer-Wyss
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M
Rederer
D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D003937:Diagnosis, Differential; D004630:Emergencies; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged
Die Rolle der Notfallendoskopie bei der akuten unteren intestinalen Blutung.