Predictive factors for colonic diverticular rebleeding: A retrospective analysis of the clinical and colonoscopic features of 111 patients

Yoshimasa Tanaka, Yasuaki Motomura, Kazuya Akahoshi, Risa Iwao, Keishi Komori, Naotaka Nakama, Takashi Osoegawa, Soichi Itaba, Masaru Kubokawa, Terumasa Hisano, Eikichi Ihara, Kazuhiko Nakamura, Ryoichi Takayanagi

研究成果: ジャーナルへの寄稿記事

20 引用 (Scopus)

抄録

Background/Aims: Colonic diverticular bleeding can stop spontaneously or be stopped by endoscopic hemostasis. We analyzed the clinical and colonoscopic features of patients with colonic diverticular bleeding to establish the predictive factors for rebleeding. Methods: A total of 111 patients (median age, 72 years) with colonic diverticular bleeding in Aso Iizuka Hospital between April 2007 and July 2010 were enrolled. Age, sex, body mass index (BMI), comorbidity, medication, location of bleeding, colonoscopic findings and hemostatic methods were analyzed retrospectively from the hospital records. Results: The most common sites of bleeding were the ascending (39.6%) and sigmoid (29.7%) colon. Overt rebleeding occurred in 30 patients (27.0%). Spontaneous hemostasis was seen in 81 patients (73.0%), and endoscopic hemostatic treatment was performed in 30 patients. The BMI in the patients with colonic diverticular rebleeding was significantly higher than in patients without rebleeding. Colonoscopic findings of actively bleeding or nonbleeding visible vessels in the responsible diverticula were more frequent in the group with rebleeding. Conclusions: A higher BMI and colonoscopic findings of actively bleeding or nonbleeding visible vessels can be used as predictive factors for colonic diverticular rebleeding. Patients with such findings should be carefully followed up after hemostasis of the initial colonic diverticular bleeding.

元の言語英語
ページ(範囲)334-338
ページ数5
ジャーナルGut and Liver
6
発行部数3
DOI
出版物ステータス出版済み - 7 1 2012

Fingerprint

Hemorrhage
Body Mass Index
Hemostatics
Hemostasis
Endoscopic Hemostasis
Hospital Records
Diverticulum
Sigmoid Colon
Comorbidity

All Science Journal Classification (ASJC) codes

  • Hepatology
  • Gastroenterology

これを引用

Predictive factors for colonic diverticular rebleeding : A retrospective analysis of the clinical and colonoscopic features of 111 patients. / Tanaka, Yoshimasa; Motomura, Yasuaki; Akahoshi, Kazuya; Iwao, Risa; Komori, Keishi; Nakama, Naotaka; Osoegawa, Takashi; Itaba, Soichi; Kubokawa, Masaru; Hisano, Terumasa; Ihara, Eikichi; Nakamura, Kazuhiko; Takayanagi, Ryoichi.

:: Gut and Liver, 巻 6, 番号 3, 01.07.2012, p. 334-338.

研究成果: ジャーナルへの寄稿記事

Tanaka, Y, Motomura, Y, Akahoshi, K, Iwao, R, Komori, K, Nakama, N, Osoegawa, T, Itaba, S, Kubokawa, M, Hisano, T, Ihara, E, Nakamura, K & Takayanagi, R 2012, 'Predictive factors for colonic diverticular rebleeding: A retrospective analysis of the clinical and colonoscopic features of 111 patients', Gut and Liver, 巻. 6, 番号 3, pp. 334-338. https://doi.org/10.5009/gnl.2012.6.3.334
Tanaka, Yoshimasa ; Motomura, Yasuaki ; Akahoshi, Kazuya ; Iwao, Risa ; Komori, Keishi ; Nakama, Naotaka ; Osoegawa, Takashi ; Itaba, Soichi ; Kubokawa, Masaru ; Hisano, Terumasa ; Ihara, Eikichi ; Nakamura, Kazuhiko ; Takayanagi, Ryoichi. / Predictive factors for colonic diverticular rebleeding : A retrospective analysis of the clinical and colonoscopic features of 111 patients. :: Gut and Liver. 2012 ; 巻 6, 番号 3. pp. 334-338.
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abstract = "Background/Aims: Colonic diverticular bleeding can stop spontaneously or be stopped by endoscopic hemostasis. We analyzed the clinical and colonoscopic features of patients with colonic diverticular bleeding to establish the predictive factors for rebleeding. Methods: A total of 111 patients (median age, 72 years) with colonic diverticular bleeding in Aso Iizuka Hospital between April 2007 and July 2010 were enrolled. Age, sex, body mass index (BMI), comorbidity, medication, location of bleeding, colonoscopic findings and hemostatic methods were analyzed retrospectively from the hospital records. Results: The most common sites of bleeding were the ascending (39.6{\%}) and sigmoid (29.7{\%}) colon. Overt rebleeding occurred in 30 patients (27.0{\%}). Spontaneous hemostasis was seen in 81 patients (73.0{\%}), and endoscopic hemostatic treatment was performed in 30 patients. The BMI in the patients with colonic diverticular rebleeding was significantly higher than in patients without rebleeding. Colonoscopic findings of actively bleeding or nonbleeding visible vessels in the responsible diverticula were more frequent in the group with rebleeding. Conclusions: A higher BMI and colonoscopic findings of actively bleeding or nonbleeding visible vessels can be used as predictive factors for colonic diverticular rebleeding. Patients with such findings should be carefully followed up after hemostasis of the initial colonic diverticular bleeding.",
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AU - Tanaka, Yoshimasa

AU - Motomura, Yasuaki

AU - Akahoshi, Kazuya

AU - Iwao, Risa

AU - Komori, Keishi

AU - Nakama, Naotaka

AU - Osoegawa, Takashi

AU - Itaba, Soichi

AU - Kubokawa, Masaru

AU - Hisano, Terumasa

AU - Ihara, Eikichi

AU - Nakamura, Kazuhiko

AU - Takayanagi, Ryoichi

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N2 - Background/Aims: Colonic diverticular bleeding can stop spontaneously or be stopped by endoscopic hemostasis. We analyzed the clinical and colonoscopic features of patients with colonic diverticular bleeding to establish the predictive factors for rebleeding. Methods: A total of 111 patients (median age, 72 years) with colonic diverticular bleeding in Aso Iizuka Hospital between April 2007 and July 2010 were enrolled. Age, sex, body mass index (BMI), comorbidity, medication, location of bleeding, colonoscopic findings and hemostatic methods were analyzed retrospectively from the hospital records. Results: The most common sites of bleeding were the ascending (39.6%) and sigmoid (29.7%) colon. Overt rebleeding occurred in 30 patients (27.0%). Spontaneous hemostasis was seen in 81 patients (73.0%), and endoscopic hemostatic treatment was performed in 30 patients. The BMI in the patients with colonic diverticular rebleeding was significantly higher than in patients without rebleeding. Colonoscopic findings of actively bleeding or nonbleeding visible vessels in the responsible diverticula were more frequent in the group with rebleeding. Conclusions: A higher BMI and colonoscopic findings of actively bleeding or nonbleeding visible vessels can be used as predictive factors for colonic diverticular rebleeding. Patients with such findings should be carefully followed up after hemostasis of the initial colonic diverticular bleeding.

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