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Clin Colon Rectal Surg 2020; 33(01): 010-015
DOI: 10.1055/s-0039-1693439
DOI: 10.1055/s-0039-1693439
Review Article
Surgical Options and Approaches for Lower Gastrointestinal Bleeding: When do we operate and what do we do?
Further Information
Publication History
Publication Date:
07 January 2020 (online)
Abstract
Lower gastrointestinal bleeding (LGIB) is a common entity encountered by the surgeon. Though most LGIB stops on its own, familiarity with the diagnoses and their treatments is critical to optimal patient care. Even in 2016, surgery may be required. Advances in imaging have led to an enhanced ability to localize bleeding. Newer anticoagulants have developed which provide ease of use to the patient, but challenges to caregivers when bleeding arises.
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References
- 1 Czymek R, Kempf A, Roblick UJ. , et al. Surgical treatment concepts for acute lower gastrointestinal bleeding. J Gastrointest Surg 2008; 12 (12) 2212-2220
- 2 McGuire Jr HH. Bleeding colonic diverticula. A reappraisal of natural history and management. Ann Surg 1994; 220 (05) 653-656
- 3 Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 1997; 92 (03) 419-424
- 4 Jacovides CL, Nadolski G, Allen SR. , et al. Arteriography for lower gastrointestinal hemorrhage: role of preceding abdominal computed tomographic angiogram in diagnosis and localization. JAMA Surg 2015; 150 (07) 650-656
- 5 Köhler G, Koch OO, Antoniou SA. , et al. Relevance of surgery after embolization of gastrointestinal and abdominal hemorrhage. World J Surg 2014; 38 (09) 2258-2266
- 6 DeBarros J, Rosas L, Cohen J, Vignati P, Sardella W, Hallisey M. The changing paradigm for the treatment of colonic hemorrhage: superselective angiographic embolization. Dis Colon Rectum 2002; 45 (06) 802-808
- 7 Bender JS, Wiencek RG, Bouwman DL. Morbidity and mortality following total abdominal colectomy for massive lower gastrointestinal bleeding. Am Surg 1991; 57 (08) 536-540 , discussion 540–541
- 8 Farner R, Lichliter W, Kuhn J, Fisher T. Total colectomy versus limited colonic resection for acute lower gastrointestinal bleeding. Am J Surg 1999; 178 (06) 587-591
- 9 Baker R, Senagore A. Abdominal colectomy offers safe management for massive lower GI bleed. Mary's Hospital, Grand Rapids, Michigan. Am Surg 1994; 60 (08) 578-581 , discussion 582
- 10 Parkes BM, Obeid FN, Sorensen VJ, Horst HM, Fath JJ. The management of massive lower gastrointestinal bleeding. Am Surg 1993; 59 (10) 676-678
- 11 Greco LT, Koller S, Philp M, Ross H. Surgical Management of Lower Gastrointestinal Hemorrhage: an analysis of the ACS-NSQIP database. Journal of Current Surgery 2017; 7 (1,2): 4-6
- 12 Do NL, Nagle D, Poylin VY. Radiation proctitis: current strategies in management. Gastroenterology Research and Practice 2011; 2011: 917941
- 13 Nelamangala Ramakrishnaiah VP, Krishnamachari S. Chronic haemorrhagic radiation proctitis: a review. World J Gastrointest Surg 2016; 8 (07) 483-491
- 14 Al Khalloufi K, Laiyemo AO. Management of rectal varices in portal hypertension. World J Hepatol 2015; 7 (30) 2992-2998
- 15 Norton ID, Andrews JC, Kamath PS. Management of ectopic varices. Hepatology 1998; 28 (04) 1154-1158
- 16 Shudo R, Yazaki Y, Sakurai S, Uenishi H, Yamada H, Sugawara K. Endoscopic variceal ligation of bleeding rectal varices: a case report. Dig Endosc 2000; 12 (04) 366-368
- 17 Kochar N, Tripathi D, McAvoy NC, Ireland H, Redhead DN, Hayes PC. Bleeding ectopic varices in cirrhosis: the role of transjugular intrahepatic portosystemic stent shunts. Aliment Pharmacol Ther 2008; 28 (03) 294-303
- 18 Bittinger M, Probst A, Eberl T. Bleeding from rectal varices in patients with liver cirrhosis - an ominous event. Gastrointest Endosc 2004; 59 (05) P270
- 19 Yorkgitis BK, Zhang J, Rappold JF. Non-vitamin K antagonist oral anticoagulants: the clinician's new challenge. J Am Osteopath Assoc 2015; 115 (10) 612-621 . Doi: 10.7556/jaoa.2015.122
- 20 Coleman CI, Sobieraj DM, Winkler S. , et al. Effect of pharmacological therapies for stroke prevention on major gastrointestinal bleeding in patients with atrial fibrillation. Int J Clin Pract 2012; 66 (01) 53-63
- 21 Desai J, Kolb JM, Weitz JI, Aisenberg J. Gastrointestinal bleeding with the new oral anticoagulants--defining the issues and the management strategies. Thromb Haemost 2013; 110 (02) 205-212
- 22 Eikelboom JW, Wallentin L, Connolly SJ. , et al. Risk of bleeding with 2 doses of dabigatran compared with warfarin in older and younger patients with atrial fibrillation: an analysis of the randomized evaluation of long-term anticoagulant therapy (RE-LY) trial. Circulation 2011; 123 (21) 2363-2372
- 23 Goodman SG, Wojdyla DM, Piccini JP. , et al; ROCKET AF Investigators. Factors associated with major bleeding events: insights from the ROCKET AF trial (rivaroxaban once-daily oral direct factor Xa inhibition compared with vitamin K antagonism for prevention of stroke and embolism trial in atrial fibrillation). J Am Coll Cardiol 2014; 63 (09) 891-900
- 24 Lai A, Davidson N, Galloway SW, Thachil J. Perioperative management of patients on new oral anticoagulants. Br J Surg 2014; 101 (07) 742-749
- 25 Radaelli F, Dentali F, Repici A. , et al. Management of anticoagulation in patients with acute gastrointestinal bleeding. Dig Liver Dis 2015; 47 (08) 621-627
- 26 Aisenberg J. The specific direct oral anticoagulant reversal agents: their current status and future place in gastroenterology practice. Am J Gastroenterol Suppl 2016; 3: 36-44 . Doi: 10.1038/ajgsup.2016.6
- 27 Pollack Jr CV, Reilly PA, Eikelboom J. , et al. Idarucizumab for Dabigatran Reversal. N Engl J Med 2015; 373 (06) 511-520
- 28 Siegal DM, Curnutte JT, Connolly SJ. , et al. Andexanet alfa for the reversal of factor xa inhibitor activity. N Engl J Med 2015; 373 (25) 2413-2424
- 29 Di Minno A, Spadarella G, Spadarella E, Tremoli E, Di Minno G. Gastrointestinal bleeding in patients receiving oral anticoagulation: Current treatment and pharmacological perspectives. Thromb Res 2015; 136 (06) 1074-1081