Management of major colonic haemorrhage.
Major colonic haemorrhage remains a difficult diagnostic and therapeutic problem. We propose that those patients who continue to bleed after resuscitation are best served by immediate laparotomy. High flow antegrade irrigation and intra-operative colonoscopy can then be used to localize the site of bleeding and allow appropriate excisional surgery rather than blind colonic resection.
D000465:Algorithms; D003106:Colon / Q000601:surgery*; D003108:Colonic Diseases / Q000175:diagnosis / Q000601:surgery*; D003113:Colonoscopy; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000601:surgery*; D006801:Humans; D007507:Therapeutic Irrigation