2020 Volume 96 Issue 1 Pages 30-34
Objective: To clarify the treatment outcomes of endoscopic hemostasis for colonic diverticular bleeding.
Methods: The study group comprised 122 patients with a diagnosis of colonic diverticular bleeding who underwent endoscopic hemostasis for bleeding of colonic diverticula as confirmed by colonoscopy. We examined the demographic characteristics of the patients and the treatment outcomes of endoscopic hemostasis.
Results: Active bleeding was found in 81 (91%) of 89 patients who underwent colonoscopy on the day of bleeding or the following day. The incidence of active bleeding was significantly higher than that in 25 (76%) of 33 patients who underwent colonoscopy after the third day of bleeding. Endoscopic hemostasis was successful in 119 patients (98%) and was unsuccessful in 3 patients. Re-bleeding after endoscopic hemostasis was found in 21 patients (18%).
Conclusions: In patients with colonic diverticular bleeding, colonoscopy should be performed soon after bleeding to confirm active bleeding. Endoscopic hemostasis is effective.
