What long-term monitoring is needed following surgery for lower gastrointestinal (GI) bleeding?

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

Postoperative office visits every 2 weeks are essential to ensure proper wound healing. Upon discharge, a general diet abundant in fruits and vegetables is recommended. Patients are instructed to drink 6-8 glasses of fluid per day. Psyllium seed preparations should also be started. The American Academy of Family Physicians (AAFP) recommends increased intake of dietary fiber. [26, 27]

Nonsteroidal anti-inflammatory drugs, thienopyridines, anticoagulants, and proton-pump inhibitors increase the risk of acute small intestinal bleeding. [76]

Increased levels of physical activity may prevent the progression of diverticular disease. [26] Aspirin and NSAID use increase the risk of diverticulitis [26]  and/or diverticular bleeding. [27]

The need for a follow-up colonoscopy is determined by a recurrence of symptoms. Angiodysplasia is more likely to rebleed if untreated and may require follow-up intervention to localize and treat recurrent bleeding. Colonoscopic electrocoagulation is generally successful in such situations.


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