Diagnosis and treatment of acute lower gastrointestinal bleeding
systematic review
DOI:
https://doi.org/10.4322/prmj.2019.036Keywords:
gastrointestinal bleeding, lower gastrointestinal tract, retoAbstract
Purpose: To analyze the diagnosis and treatment of HDB, considering the method of implementation, indication, degree of recommendation, diagnostic accuracy and effectiveness. Methods: Bibliographic review of the databases Journal of Coloproctology World Journal of Gastrointestinal Pathophysiology, Guidelines and articles from the Scielo plataform, preferably in the last 5 years. Results: In total, 35 articles were collected and 11 included in the inclusion requirements. Conclusion: The diagnosis of HDB is based on good anamnesis and laboratory and image, being a colonoscopy or a more used exam and angiotomography on the rise within the diagnostic standards. As the most used and with the best therapeutic response, it is the oral replacement of iron for light bleeding, anticoagulant therapy and Thalidomide. Endoscopic therapy, even recurrent, does not have a satisfactory response. Surgical treatment is considered for critically ill patients and with indications for this, since they have high rates of mortality and complications.
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