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Diverticular Disease of the Colon

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Updated: Jun 19, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
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Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

Diverticular bleeding.

Thad Wilkins1, Christine Baird, Andrew N Pearson

  • 1Medical College of Georgia, Augusta, GA 30912, USA. twilkins@mcg.edu

American Family Physician
|October 31, 2009
PubMed
Summary
This summary is machine-generated.

Diverticular bleeding, a frequent cause of lower gastrointestinal hemorrhage, often resolves spontaneously. Initial management focuses on resuscitation and diagnostics like colonoscopy for effective treatment.

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Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
08:20

Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice

Published on: July 12, 2018

Area of Science:

  • Gastroenterology
  • Internal Medicine

Background:

  • Diverticular bleeding is a prevalent cause of significant lower gastrointestinal hemorrhage.
  • Patients typically present with sudden, painless rectal bleeding.

Purpose of the Study:

  • To outline the diagnostic and therapeutic strategies for managing acute diverticular hemorrhage.
  • To emphasize the importance of timely intervention and appropriate patient disposition.

Main Methods:

  • Initial resuscitation including airway management, oxygen, fluid resuscitation, and blood product transfusion.
  • Diagnostic colonoscopy within 12-48 hours with rapid bowel preparation.
  • Consideration of radionuclide imaging and arteriography if colonoscopy is non-diagnostic.
  • Endoscopic therapies (epinephrine injection, electrocautery) for identified bleeding sources.

Main Results:

  • Approximately 80% of diverticular hemorrhages resolve spontaneously.
  • Severe bleeding or comorbidities necessitate intensive care unit admission.
  • Endoscopic therapies can effectively control bleeding when the source is identified.

Conclusions:

  • Prompt diagnosis and management are crucial for diverticular bleeding.
  • A stepwise approach involving resuscitation, diagnostics, and targeted therapy improves patient outcomes.
  • Advanced interventions like embolization or surgery may be required for refractory cases.