Prevention of Recurrent Lower Gastrointestinal Hemorrhage

Shivani Gupta; David A Greenwald

doi:10.1016/j.giec.2018.02.011

Prevention of Recurrent Lower Gastrointestinal Hemorrhage

Gastrointest Endosc Clin N Am. 2018 Jul;28(3):409-424. doi: 10.1016/j.giec.2018.02.011. Epub 2018 Apr 17.

Authors

Shivani Gupta¹, David A Greenwald²

Affiliations

¹ Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1069, New York, NY 10029-6574, USA. Electronic address: shivani.gupta@mountsinai.org.
² Division of Gastroenterology, Icahn School of Medicine at Mount Sinai, Mount Sinai Hospital, One Gustave L. Levy Place, Box 1069, New York, NY 10029-6574, USA.

PMID: 29933784
DOI: 10.1016/j.giec.2018.02.011

Abstract

This article summarizes current knowledge regarding the incidence of and risk factors associated with recurrent lower gastrointestinal hemorrhage. The literature regarding medical, endoscopic, and surgical methods to prevent rebleeding from diverticulosis, angioectasia, and chronic hemorrhagic radiation proctopathy is reviewed. In addition, the evidence for endoscopic clipping as primary prophylaxis against postpolypectomy bleeding is explored.

Keywords: Angioectasia; Chronic hemorrhagic radiation proctopathy; Diverticular bleeding; Endoscopic therapy; Lower GI bleeding; Postpolypectomy bleeding; Prevention of recurrent LGIB.

Publication types

Review

MeSH terms

Gastrointestinal Hemorrhage / prevention & control*
Gastrointestinal Hemorrhage / therapy
Hemostasis, Endoscopic / methods*
Humans
Recurrence
Secondary Prevention / methods*