What are the AAFP guidelines for endoscopic hemostasis therapy for lower gastrointestinal (GI) bleeding (LGIB)?

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

Endoscopic therapy for lower gastrointestinal bleeding (LGIB) is a minimally invasive and viable option in carefully selected patients. [72]

The 2016 American Academy of Family Physicians (AAFP) guidelines include the following recommendations for endoscopic hemostasis therapy [5] :

  • Provide endoscopic therapy in patients with active bleeding, a nonbleeding visible vessel, or an adherent clot.
  • Use mechanical (clip) or contact thermal endotherapy, with or without the use of dilute epinephrine injection, for postpolypectomy bleeding.
  • In patients with diverticular bleeding, use through-the-scope endoscopic clips.
  • In patients with angioectasia bleeding, use noncontact thermal therapy with argon plasma coagulation.

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