High-Dose Barium Impaction Therapy Is Useful for the Initial Hemostasis and for Preventing the Recurrence of Colonic Diverticular Bleeding Unresponsive to Endoscopic Clipping

Joint Authors

Shimbo, Takuro
Nagata, Naoyoshi
Uemura, Naomi
Yamano, Kazuyoshi
Niikura, Ryota

Source

Case Reports in Gastrointestinal Medicine

Issue

Vol. 2013, Issue 2013 (31 Dec. 2013), pp.1-3, 3 p.

Publisher

Hindawi Publishing Corporation

Publication Date

2013-05-09

Country of Publication

Egypt

No. of Pages

3

Main Subjects

Diseases

Abstract EN

Most cases of colonic diverticular bleeding stop spontaneously, but some patients experience massive bleeding that requires emergency treatment.

Endoscopy can be useful when the bleeding source is identified.

However, bleeding sometimes recurs within a short period despite the successful endoscopic treatment.

Under such conditions, more invasive therapy such as interventional angiography or surgery is required and can prolong hospitalization and involve frequent blood transfusions.

We report the case of a 68-year-old woman who presented with massive hematochezia.

The patient was in hemorrhagic shock and required 16 units of blood transfusion to recover to general condition.

We performed multidetector row computed tomography, but it showed no sites of bleeding.

We conducted colonoscopy and identified the source of bleeding as colonic diverticula.

We treated the bleeding with endoscopic hemoclips and achieved hemostasis, but bleeding recurred the next day.

Four units of blood transfusion were required.

We tried high-dose barium impaction therapy to avoid further blood transfusion and surgery.

No complications or recurrent bleeding was observed for an 18-month period.

Therapeutic barium enema is an option for colonic diverticular bleeding unresponsive to endoscopic clipping and may be effective for preventing recurrent bleeding.

American Psychological Association (APA)

Niikura, Ryota& Nagata, Naoyoshi& Yamano, Kazuyoshi& Shimbo, Takuro& Uemura, Naomi. 2013. High-Dose Barium Impaction Therapy Is Useful for the Initial Hemostasis and for Preventing the Recurrence of Colonic Diverticular Bleeding Unresponsive to Endoscopic Clipping. Case Reports in Gastrointestinal Medicine،Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005681

Modern Language Association (MLA)

Niikura, Ryota…[et al.]. High-Dose Barium Impaction Therapy Is Useful for the Initial Hemostasis and for Preventing the Recurrence of Colonic Diverticular Bleeding Unresponsive to Endoscopic Clipping. Case Reports in Gastrointestinal Medicine No. 2013 (2013), pp.1-3.
https://search.emarefa.net/detail/BIM-1005681

American Medical Association (AMA)

Niikura, Ryota& Nagata, Naoyoshi& Yamano, Kazuyoshi& Shimbo, Takuro& Uemura, Naomi. High-Dose Barium Impaction Therapy Is Useful for the Initial Hemostasis and for Preventing the Recurrence of Colonic Diverticular Bleeding Unresponsive to Endoscopic Clipping. Case Reports in Gastrointestinal Medicine. 2013. Vol. 2013, no. 2013, pp.1-3.
https://search.emarefa.net/detail/BIM-1005681

Data Type

Journal Articles

Language

English

Notes

Includes bibliographical references

Record ID

BIM-1005681