Clinics in Colon and Rectal Surgery 2020; 33(01): 035-041
DOI: 10.1055/s-0039-1695036
Review Article
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Special Considerations in the GI Bleeding Patient

Haniee Chung
1  Section of Colon and Rectal Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri
,
Matthew G. Mutch
1  Section of Colon and Rectal Surgery, Department of Surgery, Washington University School of Medicine, St. Louis, Missouri
› Author Affiliations
Further Information

Publication History

Publication Date:
07 November 2019 (online)

Abstract

Lower gastrointestinal bleeding (LGIB) is an increasingly common problem in patients with comorbid medical conditions that place them at higher bleeding risk. This discussion of some special considerations in the GI bleeding patient encompasses an overview of the elderly patient, and selects comorbid conditions that place patients at higher risk of developing intestinal bleeding. The discussion lends itself to exploring the challenges of and new advancements in anticoagulation therapy. Radiation induced proctitis and rectal varices as sources of LGIB will also be addressed.