Endoscopic Management of Diverticular Bleeding

Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduce...

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Main Authors: Tarun Rustagi, Thomas R. McCarty
Format: Article
Language:English
Published: Wiley 2014-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2014/353508
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author Tarun Rustagi
Thomas R. McCarty
author_facet Tarun Rustagi
Thomas R. McCarty
author_sort Tarun Rustagi
collection DOAJ
description Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding.
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spelling doaj-art-c84b3aba9f0940868f8b31bf4f93c2bf2025-08-20T02:19:41ZengWileyGastroenterology Research and Practice1687-61211687-630X2014-01-01201410.1155/2014/353508353508Endoscopic Management of Diverticular BleedingTarun Rustagi0Thomas R. McCarty1Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, 1080 LMP, New Haven, CT 06520, USADepartment of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USADiverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding.http://dx.doi.org/10.1155/2014/353508
spellingShingle Tarun Rustagi
Thomas R. McCarty
Endoscopic Management of Diverticular Bleeding
Gastroenterology Research and Practice
title Endoscopic Management of Diverticular Bleeding
title_full Endoscopic Management of Diverticular Bleeding
title_fullStr Endoscopic Management of Diverticular Bleeding
title_full_unstemmed Endoscopic Management of Diverticular Bleeding
title_short Endoscopic Management of Diverticular Bleeding
title_sort endoscopic management of diverticular bleeding
url http://dx.doi.org/10.1155/2014/353508
work_keys_str_mv AT tarunrustagi endoscopicmanagementofdiverticularbleeding
AT thomasrmccarty endoscopicmanagementofdiverticularbleeding