Bleeding Colonic Diverticula
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The lower gastrointestinal bleeding is between 10 and 30% of all the patients with gastrointestinal bleeding who visit the emergency room. The etiology is clearly related to age group. The most common cause of gastrointestinal bleeding is diverticular disease and the anatomical site where there is more of diverticula is in the left side, but the site that is related bleeding is the right side. Bleeding diverticular disease is a real urgency in gastroenterology. The need for emergency surgery, prolonged hospitalization and mortality in cases where is not stopped bleeding by endoscopic measures is high. We report the case of a young patient with recurrent bleeding, bleeding consulting for high and severe anemia. Requires endoscopic management with good clinical outcome.
Anaemia, diverticulosis, gastrointestinal bleeding, anemia, diverticulosis, hemorragia gastrointestinal,
2. Templeton A, Strate L. Updates in diverticular disease. Curr Gastroenterol Rep. 2013;15:339.
3. Touzios J, Dozois E. Diverticulosis and Acute diverticulitis. Gastroenterol Clin N Am. 2009; 38:513-25.
4. Hughes LE. Postmortem survey of diverticular disease of the colon: II. The muscular abnormality of the sigmoid colon. Gut. 1969;10:344.
5. Nakada I, Ubukata H, Goto Y, et al. Diverticular disease of the colon at a regional general hospital in Japan. Dis Colon Rectum. 1995;38:755.
6. Murphy T, Hunt RH, Fried M, Krabshuis J. Practices guidelines: diverticular disease. s. l.: World Gastroenterology Organisation; 2001.
7. Young-Fadok TM, Roberts PL, Spencer MP, Wolff BG. Colonic diverticular disease. Curr Prob Surg. 2000;37:459-514.
8. Lewis M. Bleeding colonic diverticula. J Clin Gastroenterol. 2008; 42:1156-8.
9. Kuo WT, Lee DE, Saad WE, et al. Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol. 2003;14:1503.
10. Funaki B, Kostelic JK, Lorenz J, et al. Superselective microcoil embolization of colonic hemorrhage. AJR Am J Roentgenol. 2001; 177:829.
11. Labenz J. Divertikelblutung: Diagnostik, konservative therapie, operationsindikation. Chirurg. 2014;85:314-9.