Management of major colonic haemorrhage

Author:

Berry A R1,Campbell W B1,Kettlewell M G W1

Affiliation:

1. Department of Surgery, John Radcliffe Hospital, Oxford, UK

Abstract

Abstract Major colonic haemorrhage remains a difficult diagnostic and therapeutic problem. We propose that those patients who continue to bleed after resuscitation are best served by immediate laparotomy. High flow antegrade irrigation and intra-operative colonoscopy can then be used to localize the site of bleeding and allow appropriate excisional surgery rather than blind colonic resection.

Publisher

Oxford University Press (OUP)

Subject

Surgery

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