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Effective Treatments for Colonic Diverticular Bleeding
Published: Nov 28, 2023
Managing colonic diverticular bleeding effectively is crucial to avoid complications. Discover the most effective treatments available.
Endoscopic Therapy: The Frontline Treatment
Endoscopic therapy is the first line of treatment for colonic diverticular bleeding. During a colonoscopy, doctors can apply techniques such as clipping or band ligation to stop the bleeding. These methods are highly effective at reducing the risk of rebleeding and shortening hospital stays.
Angiography for Severe Cases
When endoscopic therapy fails or the bleeding is too severe, angiography is used. This involves finding the bleeding vessel and stopping the bleeding with embolization. This procedure has a high success rate and is vital for patients who do not respond to other treatments.
Surgery: The Last Resort
Surgery is considered only when other treatments fail. This involves removing the affected part of the colon to prevent further bleeding. While effective, it is a last resort due to the risks involved, including complications and a longer recovery period.
Frequently Asked Questions
Endoscopic therapy, including clipping or band ligation, is the primary treatment.
Surgery is considered when other treatments fail to control the bleeding.
Angiography is highly effective, especially in severe cases where embolization is used.
Yes, endoscopic therapy is generally safe and reduces the risk of rebleeding.
Key Takeaways
Effective management of colonic diverticular bleeding involves a tiered approach starting with endoscopic therapy.
References
- Nagata N, Niikura R, Ishii N, et al. Cumulative evidence for reducing recurrence of colonic diverticular bleeding using endoscopic clipping versus band ligation: Systematic review and meta-analysis. J Gastroenterol Hepatol 2021; 36:1738.
- Jensen DM, Machicado GA, Jutabha R, Kovacs TO. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 2000; 342:78.
This article has been reviewed for accuracy by one of the licensed medical doctors working for Doctronic. Always discuss health information with your healthcare provider.
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