Surgical management of lower gastrointestinal bleeding
- J. PfeiferAffiliated withDivision of General Surgery, Department of Surgery and Section for Surgical Research, Medical University of Graz Email author
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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.
KeywordsLower GI bleeding Colonoscopy Angiography Surgery
- Surgical management of lower gastrointestinal bleeding
European Journal of Trauma and Emergency Surgery
Volume 37, Issue 4 , pp 365-372
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- 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