ArticleInternational journal of colorectal disease2014
Risk of recurrence and long-term outcomes after colonic diverticular bleeding.
Article in International journal of colorectal disease, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers, 1 of them a synthesis that pooled it.
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Who cites it
26 citing papers in PubMed, 1 synthesis or guideline pooled it, 63 citations in OpenAlex.
- ACG Clinical Guideline: Management of Patients With Acute Lower Gastrointestinal Bleeding.The American journal of gastroenterology · 2016Guideline
- Prevention of Gastrointestinal Bleeding in Patients Receiving Direct Oral Anticoagulants: A Narrative Review and Practical Framework for Prescribers.Clinics and practice · 2026Review
- Comparison of clipping and endoscopic band ligation treatment for the colonic wall: an in vivo animal study.iGIE : innovation, investigation and insights · 2023Article
- Clinical Factors Associated with Severity of Colonic Diverticular Bleeding and Impact of Bleeding Site.Journal of clinical medicine · 2023Article
- Risk factors for patients hospitalized with recurrent colon diverticular bleeding: a single center experience.Frontiers in medicine · 2023Article
- Article
- Effectiveness of early colonoscopy in patients with colonic diverticular hemorrhage: A single-center retrospective cohort study.World journal of gastrointestinal endoscopy · 2022Article
- Construction of a Model for Predicting the Severity of Diverticular Bleeding in an Elderly Population.Internal medicine (Tokyo, Japan) · 2022Article
- Utility of red dichromatic imaging for identifying the bleeding point in endoscopic hemostasis of colonic diverticular bleeding.VideoGIE : an official video journal of the American Society for Gastrointestinal Endoscopy · 2022Article
- Observational
- Effectiveness of Clipping for Definitive Colonic Diverticular Bleeding in Preventing Early Recurrent Bleeding.Internal medicine (Tokyo, Japan) · 2022Article
- Efficacy of Over-The-Scope Clip Method as a Novel Hemostatic Therapy for Colonic Diverticular Bleeding.Journal of clinical medicine · 2021Article
- Risk factors of interventional radiology/surgery for colonic diverticular bleeding.JGH open : an open access journal of gastroenterology and hepatology · 2021Article
- Step-clipping method can improve the detectability of the target lesion in colonic diverticular bleeding.Endoscopy international open · 2021Article
- Usefulness of direct clipping for the bleeding source of colonic diverticular hemorrhage (with videos).Endoscopy international open · 2020Article
- Lower GI Bleeding: An Update on Incidences and Causes.Clinics in colon and rectal surgery · 2020Review
- Endoscopic Therapy for Acute Diverticular Bleeding.Clinical endoscopy · 2019Article
- Lower Rebleeding Rate after Endoscopic Band Ligation than Endoscopic Clipping of the Same Colonic Diverticular Hemorrhagic Lesion: A Historical Multicenter Trial in Saga, Japan.Internal medicine (Tokyo, Japan) · 2019Article
- The Burden of Diverticular Disease and Its Complications: West versus East.Inflammatory intestinal diseases · 2018Review
- Incidence, Risk Factors, and Clinical Effects of Recurrent Diverticular Hemorrhage: A Large Cohort Study.Gastroenterology · 2018Article
Corrections and comments
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
purposeDiverticular disease is one of the most common causes of acute lower gastrointestinal bleeding. We aimed to evaluate the natural history, follow-up, and risk factors associated with re-bleeding (recurrence) in patients with colonic diverticular bleeding.
methodsWe reviewed patients with proven colonic diverticular hemorrhage from September 1993 to June 2012 at our institution. Recurrence was the main outcome measure.
resultsWe identified 78 out of 95 patients with proven diverticular bleed who were treated non-operatively and were followed up for a median of 57.1 months. Thirty-seven (47 %) of these patients with a median age of 67 years developed recurrent diverticular bleed after a median time of 8.1 months. The bleeding originated from the left colon in 78 (83 %) out of 95 patients in the first bleeding episode and 31(84 %) out of 37 patients during the recurrent bleeding episode. Thirty-six patients (97 %) with recurrent diverticular bleed required surgical intervention. Old age at the time of initial bleeding was associated with recurrence (p = 0.001). Patients with diverticulitis (p < 0.0001), peripheral vascular (p = 0.01), and chronic renal diseases (p = 0.047) were found to have an increased risk for recurrent colonic diverticular bleed. We only had one perioperative mortality due to postoperative sepsis. All other mortalities were not directly associated with surgery.
conclusionPatients with a history of colonic diverticular bleed are prone to recur shortly thereafter. Certain risk factors including increased age, documented diverticulitis, history of peripheral vascular disease, and chronic renal failure may predispose to recurrence.
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