van Dijk Brigit, van Geldere Dick, Meijssen Maarten, Pierik Robert
Department of Gastroenterology, Isala Hospital, Zwolle, Netherlands.
Department of Abdominal Surgery, Isala Hospital, Zwolle, Netherlands.
ACG Case Rep J. 2018 Sep 26;5:e71. doi: 10.14309/crj.2018.71. eCollection 2018.
Diverticula of the colon are the most common cause of lower gastrointestinal bleeding in adults. In cases of persistent loss of blood or severe acute hemorrhage, treatment is required. However, if these modern intervention techniques are inadequate, surgical resection of the colon may be required. Diverticular bleeding often concerns patients with a high surgical risk, so a less invasive treatment is preferable. A forgotten but excellent treatment, namely that of the obsolete barium contrast enema to staunch diverticular bleeding, is the focus of this case series. We describe 3 patients who were successfully treated with barium enema.
结肠憩室是成人下消化道出血最常见的原因。对于持续失血或严重急性出血的情况,需要进行治疗。然而,如果这些现代干预技术不足,可能需要对结肠进行手术切除。憩室出血常常涉及手术风险高的患者,因此更倾向于采用侵入性较小的治疗方法。一种被遗忘但效果极佳的治疗方法,即已过时的钡剂灌肠来止住憩室出血,是本病例系列的重点。我们描述了3例通过钡剂灌肠成功治疗的患者。