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Related Experiment Videos

Massive lower intestinal bleeding--a decade of experience.

A C Anand1, P K Patnaik, V P Bhalla

  • 1Department of Gastroenterology, Command Hospital (WC), Chandimandir-134 107.

Tropical Gastroenterology : Official Journal of the Digestive Diseases Foundation
|October 30, 2001
PubMed
Summary

Massive lower gastrointestinal bleeding in India affects younger patients with distinct causes and lower mortality. Diagnostic tools like colonoscopy and intraoperative endoscopy are crucial for effective management.

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Area of Science:

  • Gastroenterology
  • Internal Medicine
  • Surgical Gastroenterology

Background:

  • Lower gastrointestinal bleeding (LGIB) originates distal to the ligament of Treitz.
  • Diagnosis is challenging, often necessitating endoscopy, angiography, and isotope scans.

Purpose of the Study:

  • To analyze the characteristics and management of massive lower gastrointestinal bleeding (LGIB) in Indian Armed Forces centers.
  • To compare findings with Western data regarding patient demographics, etiology, and outcomes.

Main Methods:

  • Retrospective analysis of 91 patients with massive LGIB over 11 years (1988-1999).
  • Data collected from three gastroenterology centers within the Armed Forces.

Main Results:

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  • The mean age was 38.9 years, with 64 males. Common causes included non-specific ulcers, ileal tuberculosis, and NSAID enteropathy.
  • Colonoscopy diagnosed 36 cases during active bleeding; laparotomy identified 25 cases, and intraoperative endoscopy diagnosed 12.
  • Overall mortality was low (4.4%), with only one death attributed to rebleeding.

    • Conclusions:

    • Massive LGIB in India affects younger individuals with different etiologies and lower mortality compared to Western countries.
    • Colonoscopy is valuable for diagnosing LGIB during active bleeding.
    • Exploratory laparotomy and intraoperative endoscopy are essential complementary tools for diagnosis in complex cases.