Evaluation of lower gastrointestinal bleeding

References

Key articles

Strate LL, Gralnek IM. ACG clinical guideline: management of patients with acute lower gastrointestinal bleeding. Am J Gastroenterol. 2016 May;111(5):755. [Erratum in: Am J Gastroenterol. 2016 Apr;111(4):459-74.] Abstract

Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut. 2019 May;68(5):776-89.Full text  Abstract

Expert Panel on Interventional Radiology; Karuppasamy K, Kapoor BS, Fidelman N, et al. ACR Appropriateness Criteria® Radiologic management of lower gastrointestinal tract bleeding: 2021 update. Am Coll Radiol. 2021 May;18(5S):S139-52.Full text  Abstract

Pasha SF, Shergill A, Acosta RD, et al; ASGE Standards of Practice Committee. The role of endoscopy in the patient with lower GI bleeding. Gastrointest Endosc. 2014 Jun;79(6):875-85.Full text  Abstract

Reference articles

1. Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997 Mar;92(3):419-24. Abstract

2. Lanas A, García-Rodríguez LA, Polo-Tomás M, et al. Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical practice. Am J Gastroenterol. 2009 Jul;104(7):1633-41. Abstract

3. Strate LL, Gralnek IM. ACG clinical guideline: management of patients with acute lower gastrointestinal bleeding. Am J Gastroenterol. 2016 May;111(5):755. [Erratum in: Am J Gastroenterol. 2016 Apr;111(4):459-74.] Abstract

4. Rockey DC. Lower gastrointestinal bleeding. Gastroenterology. 2006 Jan;130(1):165-71.Full text  Abstract

5. Schmulewitz N, Fisher DA, Rockey DC. Early colonoscopy for acute lower GI bleeding predicts shorter hospital stay: a retrospective study of experience in a single center. Gastrointest Endosc. 2003 Dec;58(6):841-6. Abstract

6. Violi A, Cambiè G, Miraglia C, et al. Epidemiology and risk factors for diverticular disease. Acta Biomed. 2018 Dec 17;89(9-s):107-12.Full text  Abstract

7. Hansen CC, Søreide K. Systematic review of epidemiology, presentation, and management of Meckel's diverticulum in the 21st century. Medicine (Baltimore). 2018 Aug;97(35):e12154.Full text  Abstract

8. Oakland K, Guy R, Uberoi R, et al. Acute lower GI bleeding in the UK: patient characteristics, interventions and outcomes in the first nationwide audit. Gut. 2018 Apr;67(4):654-62.Full text  Abstract

9. National Institute for Health and Care Excellence (UK). Diverticular disease: what are the risk factors? December 2021 [internet publication].Full text

10. Tsai YY, Chen BC, Chou YC, et al. Clinical characteristics and risk factors of active bleeding in colonic angiodysplasia among the Taiwanese. J Formos Med Assoc. 2019 May;118(5):876-82.Full text  Abstract

11. Diggs NG, Holub JL, Lieberman DA, et al. Factors that contribute to blood loss in patients with colonic angiodysplasia from a population-based study. Clin Gastroenterol Hepatol. 2011 May;9(5):415-20;quiz e49.Full text  Abstract

12. Nishimura N, Mizuno M, Shimodate Y, et al. Risk factors for active bleeding from colonic angiodysplasia confirmed by colonoscopic observation. Int J Colorectal Dis. 2016 Dec;31(12):1869-73. Abstract

13. Verma S, Attallah MA, Jarrin Jara MD, et al. Angiodysplasia in renal disease patients: analysis of risk factors and approach to manage such patients. Cureus. 2020 Aug 16;12(8):e9784.Full text  Abstract

14. Paccos JL, Mukai NS, Correa PAFP, et al. Dieulafoy lesion in the colon: a rare cause of lower gastrointestinal bleeding. Endoscopy. 2021 Aug;53(8):E313-4.Full text  Abstract

15. Ma C, Hundal R, Cheng EJ. Colonic Dieulafoy's lesion: a rare cause of lower gastrointestinal hemorrhage and review of endoscopic management. Case Rep Gastrointest Med. 2014;2014:436293.Full text  Abstract

16. Talan D, Moran GJ, Newdow M, et al. Etiology of bloody diarrhea among patients presenting to United States emergency departments: prevalence of Escherichia coli O157:H7 and other enteropathogens. Clin Infect Dis. 2001 Feb 15;32(4):573-80.Full text  Abstract

17. Mota MI, Gadea MP, González S, et al. Bacterial pathogens associated with bloody diarrhea in Uruguayan children. Rev Argent Microbiol. 2010 Apr-Jun;42(2):114-7. Abstract

18. La Via WV, B1P6. Parasitic gastroenteritis. Pediatr Ann. 1994 Oct;23(10):556-60. Abstract

19. Kantor M, Abrantes A, Estevez A, et al. Entamoeba histolytica: updates in clinical manifestation, pathogenesis, and vaccine development. Can J Gastroenterol Hepatol. 2018 Dec 2;2018:4601420.Full text  Abstract

20. Astin M, Griffin T, Neal RD, et al. The diagnostic value of symptoms for colorectal cancer in primary care: a systematic review. Br J Gen Pract. 2011 May;61(586):e231-43.Full text  Abstract

21. Zuckerman GR, Prakash C. Acute lower intestinal bleeding. Part II: etiology, therapy, and outcomes. Gastrointest Endosc. 1999 Feb;49(2):228-38. Abstract

22. Al Khalloufi K, Laiyemo AO. Management of rectal varices in portal hypertension. World J Hepatol. 2015 Dec 28;7(30):2992-8.Full text  Abstract

23. Strate LL, Orave EJ, Syngal S. Early predictors of severity in acute lower intestinal tract bleeding. Arch Intern Med. 2003 Apr 14;163(7):838-43.Full text  Abstract

24. Strate LL, Saltzman JR, Ookubo R, et al. Validation of a clinical prediction rule for severe acute lower intestinal bleeding. Am J Gastroenterol. 2005 Aug;100(8):1821-7. Abstract

25. Ghassemi KA, Jensen DM. Lower GI bleeding: epidemiology and management. Curr Gastroenterol Rep. 2013 Jul;15(7):333.Full text  Abstract

26. Oakland K, Chadwick G, East JE, et al. Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology. Gut. 2019 May;68(5):776-89.Full text  Abstract

27. Abraham NS, Barkun AN, Sauer BG, et al. American College of Gastroenterology-Canadian Association of Gastroenterology clinical practice guideline: management of anticoagulants and antiplatelets during acute gastrointestinal bleeding and the periendoscopic period. Am J Gastroenterol. 2022 Apr 1;117(4):542-58.Full text  Abstract

28. Expert Panel on Interventional Radiology; Karuppasamy K, Kapoor BS, Fidelman N, et al. ACR Appropriateness Criteria® Radiologic management of lower gastrointestinal tract bleeding: 2021 update. Am Coll Radiol. 2021 May;18(5S):S139-52.Full text  Abstract

29. van Rongen I, Thomassen BJW, Perk LE. Early versus standard colonoscopy: a randomized controlled trial in patients with acute lower gastrointestinal bleeding: results of the BLEED study. J Clin Gastroenterol. 2019 Sep;53(8):591-8. Abstract

30. Niikura R, Nagata N, Yamada A, et al. Efficacy and safety of early vs elective colonoscopy for acute lower gastrointestinal bleeding. Gastroenterology. 2020 Jan;158(1):168-75;e6.Full text  Abstract

31. Strate LL, Syngal S. Timing of colonoscopy: impact on length of hospital stay in patients with acute lower gastrointestinal bleeding. Am J Gastroenterol. 2003 Feb;98(2):317-22. Abstract

32. National Institute for Health and Care Excellence (UK). Diverticular disease: assessment and management. Nov 2019 [internet publication].Full text

33. Zuckerman GR, Prakash C. Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc. 1998 Dec;48(6):606-17. Abstract

34. Pasha SF, Shergill A, Acosta RD, et al; ASGE Standards of Practice Committee. The role of endoscopy in the patient with lower GI bleeding. Gastrointest Endosc. 2014 Jun;79(6):875-85.Full text  Abstract

35. Kothari ST, Huang RJ, Shaukat A, et al. ASGE review of adverse events in colonoscopy. Gastrointest Endosc. 2019 Dec;90(6):863-76;e33.Full text  Abstract

36. Chua AE, Ridley LJ. Diagnostic accuracy of CT angiography in acute gastrointestinal bleeding. J Med Imaging Radiat Oncol. 2008 Aug;52(4):333-8. Abstract

37. 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 Aug;53(8):850-68.Full text  Abstract

38. Wu LM, Xu JR, Yin Y, et al. Usefulness of CT angiography in diagnosing acute gastrointestinal bleeding: a meta-analysis. World J Gastroenterol. 2010 Aug 21;16(31):3957-63.Full text  Abstract

39. McGuire HH Jr. Bleeding colonic diverticula. A reappraisal of natural history and management. Ann Surg. 1994 Nov;220(5):653-6.Full text  Abstract

40. Nagata N, Ishii N, Manabe N, et al. Guidelines for colonic diverticular bleeding and colonic diverticulitis: Japan Gastroenterological Association. Digestion. 2019;99(suppl 1):1-26.Full text  Abstract

41. Jackson SB, Villano NP, Benhammou JN, et al. Gastrointestinal manifestations of hereditary hemorrhagic telangiectasia (HHT): a systematic review of the literature. Dig Dis Sci. 2017 Oct;62(10):2623-30.Full text  Abstract

42. Lichtenstein GR, Loftus EV, Isaacs KL, et al. ACG clinical guideline: management of Crohn's disease in adults. Am J Gastroenterol. 2018 Apr;113(4):481-517.Full text  Abstract

43. Vaizey CJ, van den Bogaerde JB, Emmanuel AV, et al. Solitary rectal ulcer syndrome. Br J Surg. 1998 Dec;85(12):1617-23.Full text  Abstract

44. Goei R, Baeten C, Janevski B, et al. The solitary rectal ulcer syndrome: diagnosis with defecography. ACR Am J Roentgenol. 1987 Nov;149(5):933-6.Full text  Abstract

45. Jaruvongvanich V, Prasitlumkum N, Assavapongpaiboon B, et al. Risk factors for delayed colonic post-polypectomy bleeding: a systematic review and meta-analysis. Int J Colorectal Dis. 2017 Oct;32(10):1399-406. Abstract

46. Shalman D, Gerson LB. Systematic review with meta-analysis: the risk of gastrointestinal haemorrhage post-polypectomy in patients receiving anti-platelet, anti-coagulant and/or thienopyridine medications. Aliment Pharmacol Ther. 2015 Oct;42(8):949-56.Full text  Abstract

47. Pigò F, Bertani H, Grande G, et al. Post-polypectomy bleeding after colonoscopy on uninterrupted aspirin/non steroideal antiflammatory drugs: Systematic review and meta-analysis. Dig Liver Dis. 2018 Jan;50(1):20-6.Full text  Abstract

Use of this content is subject to our disclaimer