|
KMID : 1188320120060030334
|
|
Gut and Liver
2012 Volume.6 No. 3 p.334 ~ p.338
|
|
|
Predictive Factors for Colonic Diverticular Rebleeding: A Retrospective Analysis of the Clinical and Colonoscopic Features of 111 Patients
|
|
Yoshimasa Tanaka
Yasuaki Motomura
Kazuya Akahoshi
Risa Iwao
Keishi Komori
Naotaka Nakama
Takashi Osoegawa
Soichi Itaba
Masaru Kubokawa
Terumasa Hisano
Eikichi Ihara
Kazuhiko Nakamura
Ryoichi Takayanagi
|
|
|
Abstract
|
|
|
Background/Aims:Colonic diverticular bleeding can stop spontaneously or be stopped by endoscopic hemostasis. We analyzed the clinical and colonoscopic features of patients with colonic diverticular bleeding to establish the predictive factors for rebleeding.
Methods:A total of 111 patients (median age, 72 years) with colonic diverticular bleeding in Aso Iizuka Hospital between April 2007 and July 2010 were enrolled. Age, sex, body mass index (BMI), comorbidity, medication, location of bleeding, colonoscopic findings and hemostatic methods were analyzed retrospectively from the hospital records.
Results:The most common sites of bleeding were the ascending (39.6%) and sigmoid (29.7%) colon. Overt rebleeding occurred in 30 patients (27.0%). Spontaneous hemostasis was seen in 81 patients (73.0%), and endoscopic hemostatic treatment was performed in 30 patients. The BMI in the patients with colonic diverticular rebleeding was significantly higher than in patients without rebleeding. Colonoscopic findings of actively bleeding or nonbleeding visible vessels in the responsible diverticula were more frequent in the group with rebleeding.
Conclusions:A higher BMI and colonoscopic findings of actively bleeding or nonbleeding visible vessels can be used as predictive factors for colonic diverticular rebleeding. Patients with such findings should be carefully followed up after hemostasis of the initial colonic diverticular bleeding.
|
|
|
KEYWORD
|
|
|
Colonic diverticular bleeding, Predictive factors, Rebleeding, Retrospective analysis, Body mass index
|
|
|
FullTexts / Linksout information
|
|
|
|
|
Listed journal information
|
|
   
|