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Endoscopic management of colonic diverticular bleeding
Author(s) -
Yamada Atsuo,
Niikura Ryota,
Yoshida Shuntaro,
Hirata Yoshihiro,
Koike Kazuhiko
Publication year - 2015
Publication title -
digestive endoscopy
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.5
H-Index - 56
eISSN - 1443-1661
pISSN - 0915-5635
DOI - 10.1111/den.12534
Subject(s) - medicine , hemostasis , colonoscopy , clipping (morphology) , ligation , surgery , gastrointestinal bleeding , endoscopy , colorectal cancer , cancer , linguistics , philosophy
Colonic diverticular bleeding is the most common cause of lower gastrointestinal bleeding. Colonoscopy can be used for both diagnosis and treatment of colonic diverticular bleeding. Identification of the stigmata of recent hemorrhage allows for various endoscopic hemostasis methods. Clipping, endoscopic band ligation, injection therapy, and thermal contact are available methods for endoscopic hemostasis. However, the optimal technique remains to be determined. Herein, we review the techniques and clinical outcomes of endoscopic hemostasis for colonic diverticular bleeding.