[Acute colonic hemorrhage. Importance of a preoperative localization of the origin of bleeding in patients requiring emergency surgery].
Publication/Presentation Date
4-30-1989
Abstract
Conservative management of distal gastro-intestinal bleeding is successful in most cases; 10% of patients hospitalised with this diagnosis will however undergo emergency surgery. Preoperative localisation of the bleeding site allows to perform a limited, segmental colectomy even in emergency. This has been shown to be associated with a lower operative mortality and morbidity when compared with subtotal colectomy. In this retrospective study we reviewed the notes of 134 patients admitted with lower gastro-intestinal bleeding. 22 of these required more than 4 units of blood transfusion and 12 underwent emergency surgery. Preoperative localisation of the source of bleeding was possible in 7 cases (58%); the remaining 5 underwent a subtotal colectomy. The operative mortality was 8%. The Authors emphasise the importance of an aggressive diagnostic work up in all cases of massive bleeding (i.e. more than 4 units of blood requirement in the first 24 hours following hospitalisation) in order to minimise the number of emergency subtotal colectomy.
Volume
44
Issue
8
First Page
1261
Last Page
1266
ISSN
0026-4733
Published In/Presented At
Manunta, A., Camilleri, G., Di Saverio, G., Bergamaschi, R., & Giani, L. (1989). Emorragia colica acuta. Importanza della localizzazione preoperatoria dell'origine del sanguinamento nei pazienti necessitanti un intervento di urgenza [Acute colonic hemorrhage. Importance of a preoperative localization of the origin of bleeding in patients requiring emergency surgery]. Minerva chirurgica, 44(8), 1261–1266.
Disciplines
Medicine and Health Sciences
PubMedID
2788251
Department(s)
Department of Surgery
Document Type
Article