Is Early Colonoscopy Required in Acute Lower Gastrointestinal Bleeding?

Hee Chan Yang; Sang Wook Kim

doi:10.4166/kjg.2020.75.3.176

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Yang and Kim: Is Early Colonoscopy Required in Acute Lower Gastrointestinal Bleeding?

Research Update

Korean J Gastroenterol 2020;75(3):176-178.

Published online: 4 October 2020

DOI: https://doi.org/10.4166/kjg.2020.75.3.176

Is Early Colonoscopy Required in Acute Lower Gastrointestinal Bleeding?

Hee Chan Yang

, Sang Wook Kim

Division of Gastroenterology, Department of Internal Medicine, Jeonbuk National University Hospital, Jeonbuk National University Medical School, Jeonju, Korea

Correspondence to: Hee Chan Yang, Department of Internal Medicine, Jeonbuk National University Hospital, 20 Geonji-ro, Deokjin-gu, Jeonju 54907, Korea. Tel: +82-63-250-1533, Fax: +82-63-254-1609, E-mail: yangh-c@hanmail.net

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Article

Efficacy and Safety of Early vs Elective Colonoscopy for Acute Lower Gastrointestinal Bleeding

References

1. ASGE Standards of Practice Committee. Pasha SF, Shergill A, et al. The role of endoscopy in the patient with lower GI bleeding. Gastrointest Endosc. 2014; 79:875–885.

2. Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG clinical guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol. 2015; 110:1265–1287.

3. Kouanda AM, Somsouk M, Sewell JL, Day LW. Urgent colonoscopy in patients with lower GI bleeding: a systematic review and meta-analysis. Gastrointest Endosc. 2017; 86:107–117.e1.

4. Sengupta N, Tapper EB, Feuerstein JD. Early versus delayed colonoscopy in hospitalized patients with lower gastrointestinal bleeding: a meta-analysis. J Clin Gastroenterol. 2017; 51:352–359.

5. Seth A, Khan MA, Nollan R, et al. Does urgent colonoscopy improve outcomes in the management of lower gastrointestinal bleeding? Am J Med Sci. 2017; 353:298–306.

6. van Rongen I, Thomassen BJW, Perk LE. Early versus standard colonoscopy: a randomized controlled trial in patients with acute lower gastrointestinal bleeding: results of the BLEED study. J Clin Gastroenterol. 2019; 53:591–598.

7. Green BT, Rockey DC, Portwood G, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol. 2005; 100:2395–2402.

8. Laine L, Shah A. Randomized trial of urgent vs. elective colonoscopy in patients hospitalized with lower GI bleeding. Am J Gastroenterol. 2010; 105:2636–2641.

9. Niikura R, Nagata N, Yamada A, et al. Efficacy and safety of early vs elective colonoscopy for acute lower gastrointestinal bleeding. Gastroenterology. 2020; 158:168–175.e6.

10. Niikura R, Nagata N, Aoki T, et al. Predictors for identification of stigmata of recent hemorrhage on colonic diverticula in lower gastrointestinal bleeding. J Clin Gastroenterol. 2015; 49:e24–e30.

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ORCID iDs: Hee Chan Yang
https://orcid.org/0000-0001-9847-5343
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