Which interventions have reduced the need for surgery in lower GI bleeding (LGIB)?

Updated: Jul 26, 2019
  • Author: Burt Cagir, MD, FACS; Chief Editor: BS Anand, MD  more...
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Answer

Advances in diagnostic and therapeutic colonoscopy and in interventional angiography have resulted in a shift away from the need for surgical treatment (see the image below). Effective management with less invasive modalities has also reduced healthcare costs and, more importantly, patient morbidity and mortality.

Methods used to treat lower gastrointestinal (GI) Methods used to treat lower gastrointestinal (GI) bleeding. CBC = complete blood cell count, coags = coagulation studies, EGD = esophagogastroduodenoscopy, NG = nasogastric, RBC = red blood cell, TRBC = tagged RBC, UGIB = upper GI bleeding.

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