Search research articles

ABOUT JoVE

Overview Leadership Blog JoVE Help Center

AUTHORS

Publishing Process Editorial Board Scope & Policies Peer Review FAQ Submit

LIBRARIANS

Testimonials Subscriptions Access Resources Library Advisory Board FAQ

RESEARCH

JoVE Journal Methods Collections JoVE Encyclopedia of Experiments Archive

EDUCATION

JoVE Core JoVE Business JoVE Science Education JoVE Lab Manual Faculty Resource Center Faculty Site

Terms & Conditions of Use

Related Concept Videos

Esophageal Varices-II: Clinical Features and Management

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by

Same author

PreciSSIon: a collaborative initiative to reduce surgical site infections after elective colorectal surgery.

The Journal of hospital infection·2022

Same author

Bespoke regional blocks for axillary sentinel node biopsy.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2021

Same author

Restitution of the NHS breast reconstruction service during the recovery phase of the Covid 19 pandemic.

Journal of plastic, reconstructive & aesthetic surgery : JPRAS·2020

Same author

An open and closed case: timing of closure following laparostomy.

Annals of the Royal College of Surgeons of England·2020

Same author

Personal protective equipment for surgeons during COVID-19 pandemic: systematic review of availability, usage and rationing.

The British journal of surgery·2020

Same author

Introduction of a care bundle effectively and sustainably reduces patient-reported surgical site infection in patients undergoing colorectal surgery.

The Journal of hospital infection·2020

Same journal

Rethinking lymphadenectomy in the immunotherapy era of colorectal cancer: A hypothesis-generating perspective.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

Same journal

Transanal minimally invasive surgery for rectal GIST-A video vignette.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

Same journal

The relational core of nurse-led LARS care: Recognising an active therapeutic mechanism and building sustainable pathways.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

Same journal

Outcomes reported in comparative studies of surgical management of pilonidal disease: Systematic review to inform a core outcome set.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

Same journal

Robotic and transperineal endoscopic en bloc resection for rectal cancer with a rectovaginal fistula: Vaginal-wall fistula closure-A video vignette.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

Same journal

Patient-centred treatment failure and secondary prevention after Bascom I for pilonidal sinus disease.

Colorectal disease : the official journal of the Association of Coloproctology of Great Britain and Ireland·2026

See all related articles

Search research articles

Related Experiment Video

Updated: May 4, 2026

A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine

A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine

Published on: December 6, 2024

A rectal bleeding algorithm can successfully reduce emergency admissions.

R Patel¹, R Clancy, E Crowther

¹Department of Colorectal Surgery, Frenchay Hospital, North Bristol NHS Trust, Bristol, UK.

Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland

|December 21, 2013

Summary

This summary is machine-generated.

A new rectal bleeding algorithm safely identifies patients who can avoid hospital admission for lower gastrointestinal bleeding (LGIB). This tool simplifies management in primary care, reducing unnecessary emergency admissions.

Keywords:

Rectal bleeding outpatient management triage

More Related Videos

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

Related Experiment Videos

Last Updated: May 4, 2026

A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine

A New Hybrid Quantitative Evaluation Model for Axillary Junctional Hemorrhage in Swine

Published on: December 6, 2024

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

A Novel Approach for the Administration of Medications and Fluids in Emergency Scenarios and Settings

Published on: November 9, 2016

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Complete and Partial Resuscitative Endovascular Balloon Occlusion of the Aorta for Hemorrhagic Shock

Published on: May 19, 2022

Area of Science:

Gastroenterology
Internal Medicine
Primary Care Medicine

Background:

Acute lower gastrointestinal bleeding (LGIB) frequently leads to emergency hospital admissions.
However, most LGIB cases do not necessitate blood transfusions or invasive interventions.
There is a need for tools to safely manage LGIB patients in primary care settings.

Purpose of the Study:

To develop and validate a risk assessment tool for identifying acute LGIB patients suitable for primary care management.
To reduce unnecessary hospital admissions for LGIB.

Main Methods:

A retrospective analysis using an existing nomogram identified key criteria for predicting transfusion needs.
A simplified three-criterion algorithm (hemoglobin > 13 g/dL, systolic blood pressure > 115 mmHg, no anticoagulation) and care pathway were developed.
The algorithm was prospectively applied to 57 patients over 16 weeks, supported by staff education and an emergency clinic.

Main Results:

The algorithm and care pathway successfully avoided 35% (20/57) of potential admissions.
Patients avoided admission received outpatient flexible sigmoidoscopy within 6 weeks.
Among patients predicted to need admission, key indicators were low hemoglobin, low systolic blood pressure, and anticoagulation use.
The rate of avoidable admissions decreased significantly from 50% to 1.8%.

Conclusions:

A simple rectal bleeding algorithm can effectively and safely prevent unnecessary hospital admissions for LGIB.
This tool supports the safe management of LGIB patients within primary care settings.