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Clin Colon Rectal Surg 2020; 33(01): 022-027
DOI: 10.1055/s-0039-1695033
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Current Nonoperative Therapeutic Interventions for Lower Gastrointestinal Hemorrhage

Anna Serur
1   Department of Surgery, Section of Colorectal Surgery, Englewood Hospital and Medical Center, Englewood, New Jersey
,
Rebecca Rhee
1   Department of Surgery, Section of Colorectal Surgery, Englewood Hospital and Medical Center, Englewood, New Jersey
,
Joshua Ramjist
2   Department of General Surgery, Maimonides Medical Center, Brooklyn, New York, New York
› Author Affiliations
Further Information

Publication History

Publication Date:
11 November 2019 (online)

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Abstract

Lower gastrointestinal hemorrhage remains a common cause of hospitalization, with significant health care costs. Initial management should include aggressive resuscitation followed by localization of bleeding with nuclear scintigraphy, colonoscopy, or computed tomography (CT) angiography. If bleeding does not resolve spontaneously, expeditious intervention with minimally invasive endoscopic or angiographic methods is necessary with surgical intervention as a last resort.

Keywords

lower gastrointestinal bleed - angiography - colonoscopy - CT angiography
 

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