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Pfeifer, J.
Surgical management of lower gastrointestinal bleeding.
Eur J Trauma Emerg Surg. 2011; 37(4):365-372 Doi: 10.1007/s00068-011-0122-5
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Leading authors Med Uni Graz: Pfeifer Johann
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Abstract:: Lower gastrointestinal bleeding (LGIB) is any form of bleeding distal to the Ligament of Treitz. In most cases, acute LGIB is self-limited and resolves spontaneously with conservative management. Only a minority of approximately 10% is admitted to hospital with signs of massive bleeding and shock requiring resuscitation, urgent evaluation and treatment. Over the past decade, there has been a progressive decrease in upper GI events and a significant increase in lower GI events. Overall, mortality has also decreased, but in-hospital fatality due to upper or lower GI complications have remained constant. The problem is that LGIB can arise from a number of sources and may be a significant cause of hospitalisation and mortality in elderly patients. After initial resuscitation, the diagnosis and treatment of LGIB remains a challenge for acute care surgeons, whereby the identification of the source of bleeding is of utmost importance.
Find related publications in this database (Keywords): Lower GI bleeding; Colonoscopy; Angiography; Surgery