[Bleeding in the lower intestinal tract: indications and results of endoscopic therapy].
Colonoscopy is the method of choice in clarifying an intestinal bleeding if upper gastrointestinal bleeding is excluded. It allows identification of the bleeding source and immediate therapy by thermal, mechanical and injection procedures. Depending on the origin of the bleeding, the applied method and the examiner's abilities, hemostasis can be achieved in up to 100% of the cases with low rebleeding and complication rates. Because there are only few prospective randomized trials comparing different endoscopical hemostasis methods, the examiner's competence and the local availabilities of endoscopic procedures are decisive for the results of endoscopic therapy.
Hahne
M
M
Medizinische Klinik C, Klinikum der Stadt Ludwigshaften gGmbH, Bremserstrasse 79, 67063 Ludwigshafen.
Riemann
J F
JF
D003113:Colonoscopy; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D006488:Hemostasis, Surgical; D006801:Humans; D016032:Randomized Controlled Trials as Topic; D012008:Recurrence