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Barium Enema for Treatment for Diverticular Bleeding
Brigit van Dijk1, Dick van Geldere2, Maarten Meijssen1
1Department of Gastroenterology, Isala Hospital, Zwolle, Netherlands.
Insights
Barium enema, an older procedure, can effectively stop severe lower gastrointestinal bleeding caused by colon diverticula. This less invasive treatment offers a viable alternative when modern interventions fail, especially for high-risk patients.
Area of Science:
- Gastroenterology
- Interventional Radiology
Background:
- Colon diverticula are a leading cause of lower gastrointestinal bleeding in adults.
- Severe or persistent bleeding necessitates intervention, with surgery as a last resort.
- High-risk surgical patients require less invasive treatment options.
Abstract:
Diverticula of the colon are the most common cause of lower gastrointestinal bleeding in adults. In cases of persistent loss of blood or severe acute hemorrhage, treatment is required. However, if these modern intervention techniques are inadequate, surgical resection of the colon may be required. Diverticular bleeding often concerns patients with a high surgical risk, so a less invasive treatment is preferable. A forgotten but excellent treatment, namely that of the obsolete barium contrast enema to staunch diverticular bleeding, is the focus of this case series. We describe 3 patients who were successfully treated with barium enema.
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