Colonoscopy After Golytely Preparation in Acute Rectal Bleeding

作者: Antonio Caos , Kent G. Benner , James Manier , Denis M. McCarthy , Larry D. Blessing

DOI: 10.1097/00004836-198602000-00010

关键词: Nonoperative treatmentColonoscopyRectumElectrocoagulationSigmoidoscopyHematocheziaMedicineSurgeryTherapeutic irrigationColonic Hemorrhage

摘要: Thirty-five consecutive patients with acute hematochezia, negative gastric aspirates, and sigmoidoscopy underwent urgent colonoscopy after Golytely purgation. Mucosal visualization was excellent. Colonic bleeding lesions were identified in 24 of 35 patients, hemorrhage originating proximal to the ileoceal valve documented three these patients. Therapeutic endoscopic electrocautery, employed 12 effective 11. The peroral preparation well tolerated, there no complications or colonoscopy. data suggest that following purgation is a safe, sensitive, specific diagnostic procedure provides an opportunity for early nonoperative treatment colonic hemorrhage.

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