Summary
Differentials
Common
- Doença diverticular
- Angiodisplasia do cólon
- Colite isquêmica
- Doença de Crohn
- Colite ulcerativa
- Colite infecciosa
- Câncer colorretal
- Hemorroidas internas
- Fissura anal
- Pólipos cólicos
Uncommon
- Divertículo de Meckel
- Telangiectasia induzida por radiação
- Lesão de Dieulafoy
- Fístula aorto-entérica
- Vasculite
- Telangiectasia hemorrágica hereditária
- Síndrome do nevo em bolha de borracha azul
- Câncer anal
- Úlcera retal
- Varizes retais
- Sangramento pós-polipectomia
- Colopatia por anti-inflamatórios não esteroidais (AINEs)
- Hemorragia digestiva alta (transporte rápido)
- Sangramento do local de biópsia de próstata
- Endometriose
Contributors
Authors
Praveen Roy, MD
Clinical Assistant, Professor of Medicine
University of New Mexico
NM
Disclosures
PR declares that he has no competing interests.
Peer reviewers
Ian Jenkins, MB BS
Specialist Registrar
Division of Surgery
North Glasgow University Hospitals NHS Trust
Glasgow
UK
Disclosures
IJ declares that he has no competing interests.
References
Key articles
Sengupta N, Feuerstein JD, Jairath V, et al. Management of patients with acute lower gastrointestinal bleeding: an updated ACG guideline. Am J Gastroenterol. 2023 Feb 1;118(2):208-31.Full text 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
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
Guidelines
- Management of patients with acute lower gastrointestinal bleeding: an updated ACG guideline
- Haematological management of major haemorrhage
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