| Theme |
Topics of the Gastrointestinal Diverticula |
| Title |
Diagnosis and Treatment of Colonic Diverticular Hemorrhage |
| Author |
Kenichiro Nakachi |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| Author |
Mikitaka Iguchi |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| Author |
Yasuhide Yamamoto |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| Author |
Hisanobu Deguchi |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| Author |
Jun Kato |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| Author |
Masao Ichinose |
Depertment of Gastroenterology, Faculty of Medicine, Wakayama Medical University |
| [ Summary ] |
Recently, the incidence of colonic diverticular bleeding (CDB) has been gradually increasing owing to the increase in the incidence diverticulosis and internal use of nonsteroidal anti‒inflammatory agents. Moreover, CDB develops without premonitory symptoms. Urgent clinical management is needed. The usefulness of contrast CT, angiography, scintigraphy for gastrointestinal bleeding, barium impaction therapy, and colonoscopy has been established in the diagnosis and treatment of CDB. Furthermore, endoscopic band ligation has been used for hemostasis in CDB. However, it is difficult to find the source of bleeding and attain hemostasis, and recurrence sometimes happens. By identifying the characteristics of diagnostic and therapeutic methods and understanding the status of patients, relevant diagnosis and treatment could be selected. |