title: [Dynamic computed tomography is useful for the diagnosis and colonoscopic treatment of colonic diverticular bleeding].
abstract: We investigated whether emergency dynamic computed tomography (CT) is helpful to identify bleeding colonic diverticulum treatable by colonoscopy. We enrolled 95 consecutive patients given diagnoses of colonic diverticular bleeding at Hiroshima City Hospital in the present study, of whom 60 underwent CT before colonoscopy (CT group), and 35 underwent colonoscopy alone (CS group). In the CT group, bleeding diverticula were identified and treated by colonoscopy in 31 of 32 (96.9%) patients in whom extravasation was detected by CT. The interval between bleeding being recognized and CT (median 1.0 hours) in patients in whom extravasation was detected by CT was shorter than that in whom extravasation was not detected (median 5.0 hours). To identify and treat bleeding diverticula by colonoscopy, the use of emergency dynamic CT prior to colonoscopy is recommended.
authors.affiliation: Department of Internal Medicine, Hiroshima City Hospital, Japan.
authors.forename: Yoko
authors.initials: Y
authors.lastname: Kominami
authors.forename: Hirotoki
authors.initials: H
authors.lastname: Ohe
authors.forename: Sayo
authors.initials: S
authors.lastname: Kobayashi
authors.forename: Daisuke
authors.initials: D
authors.lastname: Uchida
authors.forename: Norifumi
authors.initials: N
authors.lastname: Numata
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Matsushita
authors.forename: Yuki
authors.initials: Y
authors.lastname: Morimoto
authors.forename: Asuka
authors.initials: A
authors.lastname: Nakarai
authors.forename: Shintarou
authors.initials: S
authors.lastname: Nanba
authors.forename: Shigeru
authors.initials: S
authors.lastname: Ohta
authors.forename: Tsuneyoshi
authors.initials: T
authors.lastname: Ogawa
authors.forename: Manabu
authors.initials: M
authors.lastname: Kurome
authors.forename: Toru
authors.initials: T
authors.lastname: Ueki
authors.forename: Masahiro
authors.initials: M
authors.lastname: Nakagawa
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Araki
authors.forename: Motowo
authors.initials: M
authors.lastname: Mizuno
mesh_terms: D000368:Aged; D003113:Colonoscopy; D004241:Diverticulum, Colon / Q000000981:diagnostic imaging* / Q000601:surgery; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000601:surgery; D006801:Humans; D008297:Male; D014057:Tomography, X-Ray Computed