Digestive Diseases and Sciences

, Volume 53, Issue 9, pp 2480–2485

Colonoscopic Treatment of Acute Diverticular Hemorrhage Using Endoclips

  • Eugene F. Yen
  • Uri Ladabaum
  • V. Raman Muthusamy
  • John P. Cello
  • Kenneth R. McQuaid
  • Janak N. Shah
Original Paper

DOI: 10.1007/s10620-007-0151-4

Cite this article as:
Yen, E.F., Ladabaum, U., Muthusamy, V.R. et al. Dig Dis Sci (2008) 53: 2480. doi:10.1007/s10620-007-0151-4

Abstract

Although colonoscopy is used in the diagnostic evaluation of patients with diverticular hemorrhage, data on colonoscopic treatment outcomes are limited. We reviewed records of inpatients undergoing colonoscopy to identify patients that were colonoscopically diagnosed and treated for acute diverticular hemorrhage. Eleven patients with acute diverticular hemorrhage had active bleeding (n = 7) or non-bleeding visible vessel (n = 4) at colonoscopy. Endoclip treatment (preceded by epinephrine injection in 64%) achieved hemostasis in all patients without procedural complications. Patients were discharged within three days without evidence of early rebleeding. During a median follow-up of 15 months, late recurrent bleeding occurred in two patients (18.2%). Colonoscopic treatment of patients with acute diverticular hemorrhage using endoclips appears to be effective and safe, with high rates of immediate and long-term success. Colonoscopy should be considered in patients with suspected acute diverticular hemorrhage, as it may enable definitive therapy without the need for more invasive treatment.

Keywords

Diverticulosis Diverticular hemorrhage Colonoscopy Hematochezia 

Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Eugene F. Yen
    • 1
  • Uri Ladabaum
    • 1
    • 2
  • V. Raman Muthusamy
    • 1
    • 2
  • John P. Cello
    • 1
    • 3
  • Kenneth R. McQuaid
    • 1
    • 4
  • Janak N. Shah
    • 1
    • 4
  1. 1.Division of GastroenterologyUniversity of CaliforniaSan FranciscoUSA
  2. 2.Moffitt-Long HospitalSan FranciscoUSA
  3. 3.San Francisco General HospitalSan FranciscoUSA
  4. 4.San Francisco Veterans Affairs Medical CenterSan FranciscoUSA