Predictive Factors for Colonic Diverticular Rebleeding: A Retrospective Analysis of the Clinical and Colonoscopic Features of 111 Patients
| العنوان: | Predictive Factors for Colonic Diverticular Rebleeding: A Retrospective Analysis of the Clinical and Colonoscopic Features of 111 Patients |
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| المؤلفون: | Takashi Osoegawa, Ryoichi Takayanagi, Terumasa Hisano, Risa Iwao, Soichi Itaba, Eikichi Ihara, Masaru Kubokawa, Keishi Komori, Yasuaki Motomura, Yoshimasa Tanaka, Naotaka Nakama, Kazuya Akahoshi, Kazuhiko Nakamura |
| المصدر: | Gut and Liver |
| بيانات النشر: | The Editorial Office of Gut and Liver, 2012. |
| سنة النشر: | 2012 |
| مصطلحات موضوعية: | medicine.medical_specialty, Alimentary Tract, Hepatology, business.industry, Retrospective analysis, digestive, oral, and skin physiology, Gastroenterology, food and beverages, Rebleeding, Colonic diverticular bleeding, digestive system, digestive system diseases, Endoscopic hemostasis, surgical procedures, operative, Internal medicine, Medicine, Original Article, business, Body mass index, Predictive factors |
| الوصف: | Background/Aims Colonic diverticular bleeding can stop spontaneously or be stopped by endoscopic hemostasis. We analyzed the clinical and colonoscopic features of patients with colonic diverticular bleeding to establish the predictive factors for rebleeding. Methods A total of 111 patients (median age, 72 years) with colonic diverticular bleeding in Aso Iizuka Hospital between April 2007 and July 2010 were enrolled. Age, sex, body mass index (BMI), comorbidity, medication, location of bleeding, colonoscopic findings and hemostatic methods were analyzed retrospectively from the hospital records. Results The most common sites of bleeding were the ascending (39.6%) and sigmoid (29.7%) colon. Overt rebleeding occurred in 30 patients (27.0%). Spontaneous hemostasis was seen in 81 patients (73.0%), and endoscopic hemostatic treatment was performed in 30 patients. The BMI in the patients with colonic diverticular rebleeding was significantly higher than in patients without rebleeding. Colonoscopic findings of actively bleeding or nonbleeding visible vessels in the responsible diverticula were more frequent in the group with rebleeding. Conclusions A higher BMI and colonoscopic findings of actively bleeding or nonbleeding visible vessels can be used as predictive factors for colonic diverticular rebleeding. Patients with such findings should be carefully followed up after hemostasis of the initial colonic diverticular bleeding. |
| تدمد: | 2005-1212 1976-2283 |
| DOI: | 10.5009/gnl.2012.6.3.334 |
| URL الوصول: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::087155e39603cb561c87adb2887f4ccd https://doi.org/10.5009/gnl.2012.6.3.334 |
| Rights: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....087155e39603cb561c87adb2887f4ccd |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 20051212 19762283 |
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| DOI: | 10.5009/gnl.2012.6.3.334 |