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Lower Gastrointestinal Hemorrhage

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Abstract

Lower gastrointestinal bleeding (LGIB) is defined as measurable bleeding from a source distal to the ligament of Treitz. LGIB is a broad term used to encompass the spectrum of symptoms ranging from minimal bleeding noticed on bathroom tissues associated with hemorrhoids to massive bleeding encountered with diverticular hemorrhage. Etiologies range from the rare small-bowel tumors to the frequently identified diverticular sources. To complicate matters further, the bleeding may be intermittent, leading to a challenging diagnostic and management dilemma.

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Acknowledgment.

This chapter was written by Frank G. Opelka, J. Byron Bathright, and David E. Beck in the first edition of this textbook.

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Authors and Affiliations

  1. Wayne State University School of Medicine, Detroit, MI, USA

    Craig A. Reickert MD & Melissa Times MD

  2. Department of Colon and Rectal Surgery, Henry Ford Hospital, Detroit, MI, USA

    Craig A. Reickert MD & Melissa Times MD

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  1. Craig A. Reickert MD
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  2. Melissa Times MD
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Editors and Affiliations

  1. Department of Colon and Rectal Surgery, Louisiana State University Health Sciences Center, New Orleans, Louisiana, USA

    David E. Beck MD, FACS, FASCRS

  2. Department of Colorectal Surgery, Lahey Clinic, Tufts University School of Medicine, Burlington, Massachusetts, USA

    Patricia L. Roberts MD, FACS, FASCRS

  3. Section of Colon and Rectal Surgery, Rush Medical Center, Chicago, Illinois, USA

    Theodore J. Saclarides MD, FACS, FASCRS

  4. Department of Surgery, Spectrum Health, Grand Rapids, Michigan, USA

    Anthony J. Senagore MD, FACS, FASCRS

  5. Department of Surgery, UCI Medical Center, Orange, California, USA

    Michael J. Stamos MD, FACS, FASCRS

  6. Department of Colorectal Surgery, Cleveland Clinic Florida, Weston, Florida, USA

    Steven D. Wexner MD, FACS, FASCRS, FRCS, FRCS(Ed)

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© 2011 ASCRS (American Society of Colon and Rectal Surgeons)

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Reickert, C.A., Times, M. (2011). Lower Gastrointestinal Hemorrhage. In: Beck, D.E., Roberts, P.L., Saclarides, T.J., Senagore, A.J., Stamos, M.J., Wexner, S.D. (eds) The ASCRS Textbook of Colon and Rectal Surgery. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1584-9_24

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