Controlled, semielective, segmental resection for massive colonic hemorrhage

Wright, Hastings K.; Pelliccia, Orlando; Higgins, E. F.; Sreenivas, V. I.; Gupta, Arvind

doi:10.1016/0002-9610(80)90333-5

Cited by 40 publications

(6 citation statements)

References 8 publications

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“…If the bleeding site can be localized preoperatively, a segmental colectomy is the operation of choice [89]. The average mortality is about 10%, and the average rebleeding rate is about 5% [56].…”

Section: Surgical Treatments Of Lgibmentioning

confidence: 99%

Lower gastrointestinal bleeding: a review

Edelman

Sugawa

2007

Surg Endosc

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Lower gastrointestinal bleeding (LGIB) continues to be a problem for physicians. Acute LGIB is defined as bleeding that emanates from a source distal to the ligament of Treitz. Although 80% of all LGIB will stop spontaneously, the identification of the bleeding source remains challenging and rebleeding can occur in 25% of cases. Some patients with severe hematochezia require urgent attention to minimize further bleeding and complications. This article reviews the causes, diagnostic methods, and endoscopic treatment of LGIB.

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Section: Surgical Treatments Of Lgibmentioning

confidence: 99%

Lower gastrointestinal bleeding: a review

Edelman

Sugawa

2007

Surg Endosc

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“…This stands in contrast to "blind" segmental colectomy (rebleeding rate 35-75%, mortality 20-57%) and subtotal colectomy (rebleeding rate 0-60%, mortality 0-40%) [1,4]. Most authors therefore consider a "directed" organ-sparing segmental colectomy as the gold standard for the treatment of colonic diverticular bleeding [1,19].…”

Section: Discussionmentioning

confidence: 89%

Subtotal colectomy with primary ileorectostomy is effective for unlocalized, diverticular hemorrhage

Renzulli

Maurer

Netzer

et al. 2002

Langenbeck’s Arch Surg

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“…Initial reports were associated with lower mortality rates, and angiography gained a place in the algorithm for evaluation of acute lower GI bleeding. 1 Unfortunately, angiography frequently fails to demonstrate the source of GI hemorrhage. 2,3 In addition, multiple sites of bleeding are common in diverticulosis and angiodysplasia, increasing the potential for bleeding after limited colonic resections.…”

Section: Discussionmentioning

confidence: 99%

“…3 Earlier reports from our institution ascribed a low mortality rate due to lower GI bleeding to the use of angiography and subsequent limited colectomy. 1 However, only 2 of 96 patients required emergency operation. One had a subtotal colectomy, and the other underwent a hemicolectomy that was followed by massive rebleeding.…”

Section: Commentmentioning

confidence: 99%