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Hemostasis of Acute Lower Gastrointestinal Bleeding

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GI Endoscopic Emergencies

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Abstract

Endoscopic therapy is the primary modality for hemostasis of both upper and lower gastrointestinal (GI) bleeding. Some technical differences exist, however, with regard to the application of hemostasis in the lower GI tract relative to the upper gut. A working knowledge of the techniques and hemostatic devices available for the treatment of particular bleeding lesions in the lower GI tract is necessary for the safe and effective use of these modalities. Herein, the specifics of endoscopic techniques for hemostasis of lower GI bleeding will be highlighted, in addition to the role of the interventional radiologist and surgeon when colonoscopic management fails or is not feasible.

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Author information

Authors and Affiliations

  1. Department of Gastroenterology and Hepatology, Brigham & Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Linda S. Lee & John R. Saltzman

Authors
  1. Linda S. Lee
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  2. John R. Saltzman
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Corresponding author

Correspondence to John R. Saltzman .

Editor information

Editors and Affiliations

  1. Division of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA

    Louis M. Wong Kee Song

  2. Medical College of Wisconsin-Green Bay Campus, Prevea Center for Digestive Health, Green Bay, Wisconsin, USA

    Emmanuel C. Gorospe

  3. Division of Gastroenterology and Hepatology, University of North Carolina, Chapel Hill, North Carolina, USA

    Todd H. Baron

Electronic Supplementary Material

Below is the link to the electronic supplementary material.

Water-jet irrigation to precisely localize the bleeding point for therapy (MP4 4878 kb)

Combination therapy of epinephrine injection and clip placement for postpolypectomy ulcer bleeding (MP4 18578 kb)

Active bleeding during endoscopic mucosal resection of a rectal polyp treated with monopolar grasping forceps dedicated for coagulation and sealing of blood vessels (MP4 7465 kb)

Colonic diverticulum with bleeding stigmata treated with clip placement (MP4 21245 kb)

Colonic diverticulum with active bleeding treated with epinephrine injection and bipolar coagulation (MP4 19942 kb)

Colonic diverticulum with adherent clot treated with endoscopic band ligation (MP4 33727 kb)

Bleeding internal hemorrhoids treated with endoscopic band ligation (MP4 17676 kb)

Radiation proctitis treated with argon plasma coagulation (MP4 19963 kb)

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Lee, L.S., Saltzman, J.R. (2016). Hemostasis of Acute Lower Gastrointestinal Bleeding. In: Wong Kee Song, L., Gorospe, E., Baron, T. (eds) GI Endoscopic Emergencies. Springer, New York, NY. https://doi.org/10.1007/978-1-4939-3085-2_15

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  • DOI: https://doi.org/10.1007/978-1-4939-3085-2_15

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4939-3084-5

  • Online ISBN: 978-1-4939-3085-2

  • eBook Packages: MedicineMedicine (R0)

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