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Updated: Feb 13, 2026
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Gastrointestinal Motility Monitor GIMM
Published on: December 1, 2010
31.6K
Evaluation and management of lower gastrointestinal bleeding
Aun Raza Shah1, Vikram Jala2, Hammad Arshad3
1Darent Valley Hospital, Dartford, United Kingdom.
Disease-A-Month : DM
|March 12, 2018
Summary
Lower gastrointestinal bleeding (LGIB) is a common emergency department presentation. This review covers LGIB evaluation and management, including colonoscopy and other diagnostic tools, considering patient status and resources.
Area of Science:
- Gastroenterology
- Internal Medicine
- Emergency Medicine
Background:
- Lower gastrointestinal bleeding (LGIB) is a frequent cause of emergency department visits and hospitalizations.
- LGIB incidence rises with age, with common causes including diverticulosis, angiodysplasia, malignancy, and anorectal conditions.
Purpose of the Study:
- To provide a comprehensive review of the evaluation and management strategies for lower gastrointestinal bleeding.
- To outline the diagnostic modalities and treatment options for LGIB.
Main Methods:
- Review of current literature on lower gastrointestinal bleeding.
- Discussion of diagnostic tools such as colonoscopy, nuclear scintigraphy, CT, angiography, and capsule endoscopy.
- Analysis of treatment selection based on patient hemodynamics, bleeding rate, and available resources.
Main Results:
- Colonoscopy remains the primary modality for LGIB evaluation and treatment.
- Various imaging and endoscopic techniques aid in diagnosis when colonoscopy is insufficient or contraindicated.
- Treatment decisions are tailored to individual patient factors and clinical scenarios.
Conclusions:
- Effective management of LGIB requires a systematic approach integrating diagnostic and therapeutic interventions.
- Understanding the common etiologies and available tools is crucial for optimal patient outcomes.
- Treatment choice is guided by patient stability, bleeding severity, and resource availability.
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