Evidence map›Paper›PMID 40958937›Full record

ArticleJGH open : an open access journal of gastroenterology and hepatology2025

Use of CO2 Angiography in the Identification of the Bleeding Source of Colonic Diverticular Hemorrhage: A Case Report.

Yuya Miyake, Yoshiki Morihisa, Satoko Inoue, Shigeki Arizono, Tetsuro Inokuma

Abstract read
In one paragraph

Article in JGH open : an open access journal of gastroenterology and hepatology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Yuya MiyakeDepartment of Gastroenterology Kobe City Medical Center General Hospital Kobe Japan.ORCID https://orcid.org/0009-0001-7627-0600
Yoshiki MorihisaDepartment of Gastroenterology Kobe City Medical Center General Hospital Kobe Japan.
Satoko InoueDepartment of Gastroenterology Kobe City Medical Center General Hospital Kobe Japan.
Shigeki ArizonoDepartment of Radiology Kobe City Medical Center General Hospital Kobe Japan.
Tetsuro InokumaDepartment of Gastroenterology Kobe City Medical Center General Hospital Kobe Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Diverticular hemorrhage is the most common cause of lower gastrointestinal bleeding (LGIB). Because spontaneous hemostasis frequently occurs, identifying the bleeding diverticulum via colonoscopy or iodinated contrast angiography remains challenging. Recently, several reports have demonstrated the utility of CO2 angiography in identifying the bleeding source. Case Presentation: The patient was a 73-year-old male referred to our hospital for hematochezia and was ultimately diagnosed with colonic diverticular hemorrhage. Despite repeated massive hemorrhage, spontaneous hemostasis prevented localization of the bleeding site; neither colonoscopy nor conventional iodinated contrast angiography detected the source. Finally, CO2 angiography was performed to successfully identify the bleeding site, which enabled transcatheter arterial embolization to achieve hemostasis. Conclusion: In cases of recurrent diverticular bleeding where the bleeding site remains undetectable, CO2 angiography may be an effective method to identify the source and guide targeted therapy.

Indexed as

CO2 angiographydiverticular hemorrhageiodinated contrast angiography

Identifiers

PMID40958937
PMCPMC12434311

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