Avaliação da hemorragia digestiva baixa

Last reviewed: 14 Jul 2025
Last updated: 09 Jul 2024

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
Full details

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
Full details

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

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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
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