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Updated: Jun 3, 2026

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension
04:00

Laparoscopic Splenectomy with Pericardial Devascularization for Hypersplenism and Esophageal Variceal Hemorrhage Due to Portal Hypertension

Published on: November 15, 2024

[Lower gastrointestinal bleeding]

Aïmène Khiari, Marine Camus-Duboc

    La Revue Du Praticien
    |June 2, 2026
    PubMed

    Insights

    Lower gastrointestinal bleeding (LGIB) is a common emergency in elderly patients. Prompt assessment and multidisciplinary management, including colonoscopy, are crucial for reducing complications and improving outcomes.

    Area of Science:

    • Gastroenterology
    • Emergency Medicine

    Background:

    • Lower gastrointestinal bleeding (LGIB) is a frequent medical emergency, primarily affecting older adults.
    • Common causes include diverticulosis, anorectal issues, angiodysplasias, ischemic colitis, and post-polypectomy bleeding.
    • LGIB can manifest as hematochezia, melena, or occult blood loss, necessitating urgent evaluation.

    Purpose of the Study:

    • To outline the diagnostic and therapeutic strategies for managing lower gastrointestinal bleeding.
    • To emphasize the importance of early risk stratification and multidisciplinary care.

    Main Methods:

    • Clinical assessment of severity and recurrence risk.
    • Diagnostic colonoscopy within 24 hours for stable patients.
    • CT angiography for hemodynamically unstable individuals.

    Main Results:

    • Colonoscopy is the primary diagnostic and therapeutic tool.
    • CT angiography is vital in unstable patients.
    • Therapeutic options include repeat endoscopy, embolization, and surgery for refractory cases.

    Conclusions:

    • Early, multidisciplinary management of LGIB is key to reducing patient morbidity and mortality.
    • Timely diagnosis and intervention improve outcomes for lower GI bleeds.

    Keywords:
    gastrointestinal bleeding

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