Balvardi Saba, Galante Daniel
Deaprtment of Surgery, London Health Sciences Centre, University Hospital, 339 Windermere Road, Room C8-002, London, Ontario N6A 5A5, Canada.
Department of Colon and Rectal Surgery, AdventHealth Orlando, 2415 North Orange Avenue, Suite 300, Orlando, FL 32804, USA.
Surg Clin North Am. 2026 Feb;106(1):133-141. doi: 10.1016/j.suc.2025.08.010. Epub 2025 Oct 25.
Lower gastrointestinal bleeding (LGIB) is the most common cause of hospitalization in the United States. Management of LGIB requires a multispecialty team approach and algorithm for identification of the source, as well as the cessation of bleeding. Use of an LGIB scoring system has been shown effective in appropriately classifying patients amenable to early discharge versus those requiring further inpatient management. If a patient experiences recurrent LGIB, treatment algorithms should be restarted. Segmental resection for LGIB should be reserved for localized bleeding. Surgery for unlocalized LGIB included total abdominal colectomy.
下消化道出血（LGIB）是美国住院治疗最常见的病因。LGIB的管理需要多专业团队协作以及用于确定出血源和止血的算法。使用LGIB评分系统已被证明能有效地对适合早期出院的患者与需要进一步住院治疗的患者进行恰当分类。如果患者出现复发性LGIB，应重新启动治疗算法。LGIB的节段性切除应仅用于局限性出血。非局限性LGIB的手术包括全腹结肠切除术。
