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Related Experiment Video

Updated: Jun 4, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy

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Endoscopic treatment for lower gastrointestinal bleeding.

Charles B Whitlow¹

¹Department of Colon and Rectal Surgery, Ochsner Clinic Foundation, New Orleans, Louisiana.

Clinics in Colon and Rectal Surgery

|February 3, 2011

Summary

Lower gastrointestinal bleeding has many causes and is diagnosed and treated with colonoscopy. Therapeutic options include injection, coagulation, and mechanical devices for effective management of colonic bleeding.

Keywords:

Gastrointestinal bleeding colonoscopy endoscopy hemorrhage

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Area of Science:

Gastroenterology
Colorectal Surgery

Background:

Lower gastrointestinal bleeding is a common clinical presentation.
Numerous colonic pathologies can precipitate bleeding, including diverticulosis, arteriovenous malformations, ischemia, inflammatory bowel disease, infectious colitis, neoplasm, postpolypectomy complications, and radiation proctitis.

Purpose of the Study:

To outline the diagnostic and therapeutic approaches for lower gastrointestinal bleeding.
To detail the available endoscopic interventions for managing colonic hemorrhage.

Main Methods:

Colonoscopy is the primary modality for diagnosis and treatment following initial resuscitation and evaluation.
Therapeutic interventions encompass injection therapy, various coagulation techniques (monopolar/bipolar cautery, APC), and mechanical devices (clips, bands, detachable loops).

Main Results:

Colonoscopy enables direct visualization and targeted treatment of bleeding sources within the colon.
Endoscopic therapies offer effective options for hemostasis in lower gastrointestinal bleeding.

Conclusions:

Colonoscopy is a crucial tool for managing lower gastrointestinal bleeding.
A range of endoscopic therapeutic options are available to control colonic hemorrhage effectively.