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CC BY-NC-ND 4.0 · Endosc Int Open 2021; 09(12): E1869
DOI: 10.1055/a-1594-2318
Letter to the editor

Acute lower gastrointestinal bleeding: crucial points in inpatient management for optimal urgent colonoscopy

Paola Soriani
1   Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy
,
Paolo Biancheri
1   Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy
,
Cesare Hassan
2   ONRM Hospital, Gastroenterology, Rome, Italy
,
Mauro Manno
1   Gastroenterology and Digestive Endoscopy Unit, Azienda USL Modena, Carpi, Italy
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Letter to:

Does the sentence “less is more” apply to bowel preparation?Endosc Int Open 2021; 09(12): E1868-E1868
DOI: 10.1055/a-1594-2276

Correction to:

Acute lower gastrointestinal bleeding: crucial points in inpatient management for optimal urgent colonoscopyEndosc Int Open 2021; 09(12): C10-C10
DOI: 10.1055/a-1737-8867

Corrected by:

Acute lower gastrointestinal bleeding: crucial points in inpatient management for optimal urgent colonoscopyEndosc Int Open 2021; 09(12): C11-C11
DOI: 10.1055/a-1782-1862

We are grateful for the opportunity to reply to the letter “Does the sentence “less is more” apply to bowel preparation?” by Pontone [1]. In accordance with the latest European Society of Gastrointestinal Endoscopy (ESGE) guidelines, which advise against unprepped endoscopy in acute lower gastrointestinal bleeding (LGIB) [2], we totally agree that fasting and the cathartic effect of blood are not sufficient to obtain adequate bowel cleansing.



Publication History

Article published online:
14 December 2021

© 2021. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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  • References

  • 1 Pontone S. Does the sentence “less is more” apply to bowel preparation?. Endosc Int Open 2021; 09: E1868
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  • 2 Triantafyllou K, Gkolfakis P, Gralnek IM. et al. Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline. Endoscopy 2021; 53: 850-868
    Thieme ConnectPubMedSearch in Google Scholar
  • 3 Soriani P, Biancheri P, Hassan C. et al. Updating the recommendations on bowel preparation for acute lower gastro-intestinal bleeding: The time has come!. Endosc Int Open 2021; 09: E977-E978
    Thieme ConnectPubMedSearch in Google Scholar
  • 4 Malik A, Inayat F, Goraya MHN. et al. Severe acute colonic diverticular bleeding: the efficacy of rapid bowel preparation with 1 L polyethylene glycol ascorbate solution and direct endoscopic hemoclipping for successful hemostasis. J Investig Med High Impact Case Rep 2021; 9
    CrossrefPubMedSearch in Google Scholar