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Published on: July 12, 2018
Natural history of bleeding risk in colonic diverticulosis
Lior Segev1,2, Gokhan Ozuner3
1Department of Colorectal Surgery, Digestive Disease Institute, Cleveland Clinic Foundation, Cleveland, OH, USA.
Insights
Colonic diverticulosis is rising globally. This review examines risk factors and management for diverticular bleeding, a common complication, and discusses rebleeding risks in patients with diverticular disease.
Area of Science:
- Gastroenterology
- Colorectal Surgery
Background:
- Colonic diverticulosis prevalence is increasing worldwide.
- Diverticular bleeding affects 3-15% of patients with diverticulosis.
- Rebleeding risk after a first episode ranges from 13-48%.
Purpose of the Study:
- To analyze risk factors associated with diverticular bleeding.
- To review management strategies for initial and recurrent diverticular bleeding.
Main Methods:
- Literature review on colonic diverticulosis and bleeding.
- Analysis of risk factors and treatment options.
Main Results:
- Diverticular bleeding is a significant complication of diverticulosis.
- Management strategies vary for initial and recurrent bleeding episodes.
- Understanding risk factors is crucial for patient management.
Conclusions:
- Effective management strategies are essential for diverticular bleeding.
- Further research may refine risk stratification and treatment protocols.
Abstract:
Colonic diverticulosis prevalence is gradually increasing worldwide. From 3% to 15% of the patients with diverticulosis will bleed at some point. The risk for rebleeding after the first episode is substantial but varies in the literature between 13-48%. We analyzed risk factors for diverticular bleed and management options for initial and recurrent diverticular bleeding. A review of the literature on this subject is presented.
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