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Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. Here’s a preview of a recent popular clinical discussion:
Vivy Tran, MD, wrote in “Definitive diverticular hemorrhage: Diagnosis and management”:
Diverticular hemorrhage is the most common cause of colonic bleeding, accounting for 20%-65% of cases of severe lower intestinal bleeding in adults. Urgent colonoscopy after purging the colon of blood, clots, and stool is the most accurate method of diagnosing and guiding treatment of definitive diverticular hemorrhage. The diagnosis of definitive diverticular hemorrhage depends upon identification of some stigmata of recent hemorrhage in a single diverticulum, which can include active arterial bleeding, oozing, non-bleeding visible vessel, adherent clot, or flat spot. Although other approaches, such as nuclear medicine scans and angiography of various types (CT, MRI, or standard angiography), for the early diagnosis of patients with severe hematochezia are utilized in many medical centers, only active bleeding can be detected by these techniques.
Would love to hear how diverticular bleeds are managed at your institution.
See how AGA members responded and join the discussion.
Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. Here’s a preview of a recent popular clinical discussion:
Vivy Tran, MD, wrote in “Definitive diverticular hemorrhage: Diagnosis and management”:
Diverticular hemorrhage is the most common cause of colonic bleeding, accounting for 20%-65% of cases of severe lower intestinal bleeding in adults. Urgent colonoscopy after purging the colon of blood, clots, and stool is the most accurate method of diagnosing and guiding treatment of definitive diverticular hemorrhage. The diagnosis of definitive diverticular hemorrhage depends upon identification of some stigmata of recent hemorrhage in a single diverticulum, which can include active arterial bleeding, oozing, non-bleeding visible vessel, adherent clot, or flat spot. Although other approaches, such as nuclear medicine scans and angiography of various types (CT, MRI, or standard angiography), for the early diagnosis of patients with severe hematochezia are utilized in many medical centers, only active bleeding can be detected by these techniques.
Would love to hear how diverticular bleeds are managed at your institution.
See how AGA members responded and join the discussion.
Physicians with difficult patient scenarios regularly bring their questions to the AGA Community (https://community.gastro.org) to seek advice from colleagues about therapy and disease management options, best practices, and diagnoses. Here’s a preview of a recent popular clinical discussion:
Vivy Tran, MD, wrote in “Definitive diverticular hemorrhage: Diagnosis and management”:
Diverticular hemorrhage is the most common cause of colonic bleeding, accounting for 20%-65% of cases of severe lower intestinal bleeding in adults. Urgent colonoscopy after purging the colon of blood, clots, and stool is the most accurate method of diagnosing and guiding treatment of definitive diverticular hemorrhage. The diagnosis of definitive diverticular hemorrhage depends upon identification of some stigmata of recent hemorrhage in a single diverticulum, which can include active arterial bleeding, oozing, non-bleeding visible vessel, adherent clot, or flat spot. Although other approaches, such as nuclear medicine scans and angiography of various types (CT, MRI, or standard angiography), for the early diagnosis of patients with severe hematochezia are utilized in many medical centers, only active bleeding can be detected by these techniques.
Would love to hear how diverticular bleeds are managed at your institution.
See how AGA members responded and join the discussion.