[Endoscopic management of lower gastrointestinal bleeding].
Endoscopic hemostasis is the daily challenge that must be mastered by gastroenterologists. An emergency colonoscopy is the procedure of choice for lower gastrointestinal bleeding because of the diagnostic and therapeutic potential. Colonoscopy should be performed after oral preparation with 4-6 l polyethylene glycol solution within 12 h. In the case of massive hematochezia, colonoscopy without oral preparation employinga mechanical pump is possible and is not associated with a higher rate of complications. Many different endoscopic techniques are available (injection therapy, hemoclips, thermal coagulation, topical hemostatic substances). The suitable and most effective method must be chosen depending on the source of bleeding.
III. Medizinische Klinik, Klinikum Augsburg, Stenglinstr. 2, 81656, Augsburg, Deutschland. alexander.meier@klinikum-augsburg.de.
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Meier
III. Medizinische Klinik, Klinikum Augsburg, Stenglinstr. 2, 81656, Augsburg, Deutschland.
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Messmann
III. Medizinische Klinik, Klinikum Augsburg, Stenglinstr. 2, 81656, Augsburg, Deutschland.
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Gölder
D003108:Colonic Diseases / Q000209:etiology* / Q000628:therapy*; D003113:Colonoscopy / Q000379:methods*; D003422:Critical Care / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000209:etiology* / Q000628:therapy*; D006489:Hemostatic Techniques; D006801:Humans; D011092:Polyethylene Glycols / Q000008:administration & dosage; D012002:Rectal Diseases / Q000209:etiology / Q000628:therapy*; D007507:Therapeutic Irrigation
D011092:Polyethylene Glycols
Diverticulum; Emergency; Gastrointestinal hemorrhage; Hemostasis; Neoplasia