| Clinical characteristics of acute lower gastrointestinal bleeding |
| Received:September 11, 2019 Revised:November 26, 2019 Click here to download the full text |
| Citation of this paper:SHENG Wei-zhong,YAO Lu,DONG Tian-geng,GONG Yu-da,ZHANG Bo,GAO Wei-dong.Clinical characteristics of acute lower gastrointestinal bleeding[J].Chinese Journal of Clinical Medicine,2019,26(6):866-869 |
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| Author Name | Affiliation | E-mail | | SHENG Wei-zhong | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | YAO Lu | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | DONG Tian-geng | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | GONG Yu-da | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | ZHANG Bo | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | | | GAO Wei-dong | Department of General Surgery, Zhongshan Hospital, Fudan University, Shanghai 200032, China | gao.weidong@zs-hospital.sh.cn |
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| Abstract:Objective: To explore the etiological factors and therapeutic strategies of acute lower gastrointestinal bleeding (LGIB) for improving the diagnosis and treatment of the disease. Methods: Clinical data of 59 cases of acute LGIB from January 2012 to December 2017 at Zhongshan Hospital, Fudan University were retrospectively analyzed. Results: Etiologies were determined by abdominal computed tomography (CT), angiography, or laparotomy. The major causes of LGIB were vascular malformation of the small intestine (19/59) and the GIST of the small intestine (17/59); other causes included colorectal cancer, colorectal polyp, diverticular disease, malignant tumor of the small intestine (22/59). A total of 49 cases were received surgical procedures. Conclusions: Evidence from the series of cases suggests that preoperative definitive diagnosis by endoscopy, abdominal CT, or angiography is the key to improve the curative effect of acute LGIB. |
| keywords:LGIB vascular malformation GIST surgical procedure |
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