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  • Title: [The role of emergency endoscopy in acute lower intestinal hemorrhage].
    Author: Meyer-Wyss B, Rederer M.
    Journal: Helv Chir Acta; 1991 Jul; 58(1-2):33-7. PubMed ID: 1938454.
    Abstract:
    The diagnostic procedures performed in patients with acute lower intestinal haemorrhage were analyzed retrospectively. During a three year period 35 patients with acute rectal bleeding were admitted and these patients underwent altogether 79 endoscopies, 7 visceral angiographies and 7 labeled red cell scintigraphies. The bleeding source was identified by endoscopy in 31 (89%) patients and remained undetermined in 4 (11%). The most common lesions responsible for the bleeding were diverticula, ischemic colonopathy and tumors. Despite the clinical impression of lower GI-tract haemorrhage 4 patients (11%) bled from the upper GI-tract. We conclude that emergency gastroscopy and colonoscopy, performed in the intensive care unit, are the procedures of choice for the investigation of the patient with acute lower GI-tract bleeding.
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