1993 Volume 42 Pages 108-111
During the period between January 1988 and November 1992, twelve cases of bleeding from diverticular disease of the colon were reviewed for this clinical study. Among those 6 were males and 6 were females with 71 years old in average age. Because these lesions were required multiple sporadic, they located bilateraly in 11 cases. Of these, the bleeding from the diverticulum was identified obviously in two cases.
In comparison with non-bleeding diverticular disease (22 cases) , 67 percent of males smoked more than 20 pieces daily in the bleeding group which was significantly high. Another factors such as alcohol, hypertension, hyperlipidemia did not significantly affected the difference in both groups. The complication was noted in 4 cases ; 3 diverticulitis and 1 perforation. Except 1 case with perforation, all other cases showed hemostasis by medical treatment. Re-bleeding was found in 7 cases and in those 2 cases which had been securely enforced endoscopic hemostasis had no re-bleeding.
When“bleeding from diverticular disease”is diagnosed, emergent endoscopy is indispensable. But we should care for systemically and chose good preparation to get definite diagnose and treatment within 24 hours.
