Hemorrhage from the Colon and Rectum

  • Claude E. Welch
  • Leslie W. Ottinger
  • John P. Welch
Part of the Comprehensive Manuals of Surgical Specialties book series (CMSS)


Bleeding from the rectum is recognized by the public as a very serious symptom. Consequently the surgeon will be required to examine many patients with this particular problem. Diagnosis and therapy must go hand in hand, particularly as the bleeding becomes more massive. In most instances a standard approach may be used.


Diverticular Disease Barium Enema Subtotal Colectomy Transcatheter Embolization Internal Hemorrhoid 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.


  1. 1.
    Adams J.T. (1970) Therapeutic barium enema for massive diverticular bleeding. Arch Surg 101: 547Google Scholar
  2. 2.
    Behringer G.E., Albright N.L. (1973) Diverticular disease of the colon. A frequent cause of massive rectal bleeding. Am J Surg 125: 419PubMedCrossRefGoogle Scholar
  3. 3.
    Boley S.J., Sammartano R., Adams A., et al (1977) On the nature and etiology of vascular ectasias of the colon: Degenerative lesions of aging. Gastroenterology 72: 650PubMedGoogle Scholar
  4. 4.
    Casarella W.J., Kanter I.E., Seaman W.B. (1972) Right-sided colonic diverticula as a cause of acute rectal hemorrhage. N Engl J Med 286: 450PubMedCrossRefGoogle Scholar
  5. 5.
    Corry R.J., Bartlett M.K., Cohen R.B. (1970) Erosions of the cecum. A cause of massive hemorrhage. Am J Surg 119: 106PubMedCrossRefGoogle Scholar
  6. 6.
    Drapanas T., Pennington D.G., Kappelman M., et al (1973) Emergency subtotal colectomy: Preferred approach to management of massively bleeding diverticular disease. Ann Surg 177: 519PubMedCrossRefGoogle Scholar
  7. 7.
    Goldberger L.E., Bookstein J.J. (1977) Transcatheter embolization for treatment of diverticular hemorrhage. Radiology 122: 613PubMedGoogle Scholar
  8. 8.
    Klein R.R., Gallagher D.M. (1969) Massive colonic bleeding from diverticular disease. Am J Surg 118: 553PubMedCrossRefGoogle Scholar
  9. 9.
    Marx F.W. Jr., Gray R.K., Duncan A.M., et al (1977) Angiodysplasia as a source of intestinal bleeding. Am J Surg 134: 125PubMedCrossRefGoogle Scholar
  10. 10.
    McGuire H.H. Jr., Haynes B. W. Jr., (1972) Massive hemorrhage from diverti- culosis of the colon: Guidelines for therapy based on bleeding patterns observed in fifty cases. Ann Surg 175: 847PubMedCrossRefGoogle Scholar
  11. 11.
    Ottinger L.W. (1978) Frequency of bowel movements with ileorectal anastomosis. Arch Surg 115: 1048Google Scholar
  12. 12.
    Welch C.E., Athanasoulis C.A., Galdabini J.J. (1978) Hemorrhage from the large bowel with special reference to angiodysplasia and diverticular disease. World J Surg 2: 73PubMedCrossRefGoogle Scholar
  13. 13.
    Wilkie D. (1937) Simple ulcer of the ascending colon and its complications. Surgery 1: 655Google Scholar

Copyright information

© Springer-Verlag New York Inc. 1980

Authors and Affiliations

  • Claude E. Welch
    • 1
  • Leslie W. Ottinger
    • 1
  • John P. Welch
    • 2
  1. 1.Massachusetts General HospitalBostonUSA
  2. 2.University of ConnecticutHartfordUSA

Personalised recommendations