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Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of
Kathryn Oakland1, Georgina Chadwick2, James E East3
1London Digestive Centre, HCA Healthcare UK, London, UK.
Gut
|February 23, 2019
Summary
This guideline provides the first UK national recommendations for managing acute lower gastrointestinal bleeding (LGIB). It covers risk assessment, diagnostic and therapeutic interventions, and patient management, including those on anticoagulants.
Area of Science:
- Gastroenterology
- Clinical Practice Guidelines
Background:
- Addresses the need for standardized management of acute lower gastrointestinal bleeding (LGIB) in the UK.
- Developed by a multidisciplinary group including gastroenterologists, surgeons, radiologists, and patient representatives.
Framework:
- Utilizes the GRADE methodology for evidence appraisal and recommendation grading.
- Systematic literature search to inform guideline development.
Implementation:
- Focuses on diagnosis and management of acute LGIB in adults.
- Includes risk assessment, colonoscopy, CT, angiography, endoscopic therapy, embolization, and surgery.
- Provides recommendations for patients on anticoagulants or antiplatelet drugs.
Implications:
- Aims to improve patient outcomes and standardize care for acute LGIB.
- Discusses appropriate blood transfusion strategies, including hemoglobin triggers and targets.
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