Surgical management of lower gastrointestinal bleeding
- J. Pfeifer
- … show all 1 hide
Rent the article at a discountRent now
* Final gross prices may vary according to local VAT.Get Access
Lower gastrointestinal bleeding (LGIB) is any form of bleeding distal to the Ligament of Treitz. In most cases, acute LGIB is self-limited and resolves spontaneously with conservative management.
Only a minority of approximately 10% is admitted to hospital with signs of massive bleeding and shock requiring resuscitation, urgent evaluation and treatment.
Over the past decade, there has been a progressive decrease in upper GI events and a significant increase in lower GI events. Overall, mortality has also decreased, but in-hospital fatality due to upper or lower GI complications have remained constant. The problem is that LGIB can arise from a number of sources and may be a significant cause of hospitalisation and mortality in elderly patients.
After initial resuscitation, the diagnosis and treatment of LGIB remains a challenge for acute care surgeons, whereby the identification of the source of bleeding is of utmost importance.
- Surgical management of lower gastrointestinal bleeding
European Journal of Trauma and Emergency Surgery
Volume 37, Issue 4 , pp 365-372
- Cover Date
- Print ISSN
- Online ISSN
- Additional Links
- Lower GI bleeding
- Industry Sectors
- J. Pfeifer (1)
- Author Affiliations
- 1. Division of General Surgery, Department of Surgery and Section for Surgical Research, Medical University of Graz, Auenbruggerplatz 29, 8036, Graz, Austria