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Updated: Jun 17, 2026
08:20
Murine Distal Colostomy, A Novel Model of Diversion Colitis in C57BL/6 Mice
Published on: July 12, 2018
Colonic diverticulosis and diverticular hemorrhage
Justin A Maykel1, Frank G Opelka
1Department of Surgery, Beth Israel Deaconess Medical Center, Boston, MA 02215-5491, USA.
Clinics in Colon and Rectal Surgery
|December 17, 2009
Summary
Colonic diverticulosis can cause lower gastrointestinal bleeding. Diagnosis and control involve colonoscopy, angiography, or nuclear scintigraphy, with surgery as a last resort for persistent hemorrhages.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Colonic diverticulosis affects up to 5% of individuals, potentially leading to lower gastrointestinal hemorrhage.
- Diverticular disease involves sac-like pseudodiverticula formation influenced by anatomical, dietary, and motility factors.
Purpose of the Study:
- To outline the diagnostic and therapeutic strategies for managing lower gastrointestinal hemorrhage secondary to colonic diverticulosis.
Main Methods:
- Review of diagnostic modalities including colonoscopy, angiography, and nuclear scintigraphy for hemorrhage localization.
- Discussion of interventional and surgical approaches for hemorrhage control.
Main Results:
- Most diverticular bleeds can be localized and controlled using endoscopic or angiographic techniques.
- Persistent bleeding unresponsive to non-surgical interventions requires surgical resection.
Conclusions:
- Prompt patient stabilization is crucial in acute diverticular hemorrhage.
- A multi-modal approach combining diagnostic imaging and interventions effectively manages diverticular bleeding.
- Surgical resection remains the definitive treatment for intractable cases.
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