Abstract
The clinical features and outcomes of 85 cases of colonic diverticular bleeding diagnosed at our hospital between January 2002 and January 2012 were examined. The source of the bleeding was in the right hemicolon in 41 cases (37.6%), in the left hemicolon in 32 cases (37.6%), and could not be determined in 12 cases (14.1%). Spontaneous hemostasis was accomplished in 60 cases (70.6%), endoscopic treatment was needed in 21 cases (24.7%), emergency surgery in 2 cases (2.4%), elective surgery in 1 case (1.2%), and IVR (interventional radiology) in 1 case (1.2%). Re-bleeding did not occur in any of the 7 cases in which the endoscopic treatment was performed using the distal attachment. Therefore, it is useful to maintain a frontal view of the bleeding point using the distal attachment, and use an endoscope equipped with a water jet while performing endoscopic treatment for colonic bleeding.
