Skip to main content

Bleeding Colonic Tumors

  • Chapter
  • First Online:
Gastrointestinal Bleeding

Abstract

Bleeding colonic tumors represent one of many causes of lower gastrointestinal bleeding (LGIB) and may present acutely or chronically. The evaluation and management LGIB as a whole is discussed elsewhere in this text. This chapter will focus on the etiology, work-up, and treatment of bleeding colonic tumors.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 219.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Similar content being viewed by others

References

  1. Davila RE, Rajan E, Adler DG, et al. ASGE Guideline: the role of endoscopy in the patient with lower-GI bleeding. Gastrointest Endosc 2005;62:656–660.

    Article  PubMed  Google Scholar 

  2. Czymek R, Kempf A, Roblick U, et al. Surgical treatment concepts for acute lower gastrointestinal bleeding. J Gastrointest Surg 2008;12:2212–2220, DOI 10.1007/s 11605-008-0597–5.

    Article  PubMed  Google Scholar 

  3. Edelman DA and Sugawa C. Lower gastrointestinal bleeding: a review. Surg Endosc 2007;21:514–520.

    Article  PubMed  Google Scholar 

  4. Imdahl A. Genesis and pathophysiology of lower gastrointestinal bleeding. Langenbecks Arch Surg 2001;386:1–7.

    Article  PubMed  CAS  Google Scholar 

  5. Wolff BG and Devine RM. Surgical management of diverticulitis. Am Surg 2000;66:153–156.

    PubMed  CAS  Google Scholar 

  6. Peura DA, Lanza FL, Gostout CJ, et al. The American College of Gastroenterology Bleeding Registry: preliminary findings. Am J Gastroenterol 1997;92:924–928.

    PubMed  CAS  Google Scholar 

  7. Jensen DM and Machicado GA. Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge. Gastroenterology 1988;95:1569–1574.

    PubMed  CAS  Google Scholar 

  8. Nivatvongs S. Complications of colonic disease and their management. In PH Gordon and S Nivatvongs (eds.),Principles and Practice of Surgery for the Colon, Rectum and Anus, 3rd edn. New York: Informa Healthcare; 2007, Chapter 35.

    Google Scholar 

  9. Rossini FP, Ferrari A, Spandre M, et al. Emergency colonoscopy. World J Surg 1989;13: 190–192.

    Article  PubMed  CAS  Google Scholar 

  10. Jensen DM and Machicado GA. Endoscopic diagnosis and treatment of bleeding colonic angiomas and radiation telangiectasias. Perspect Colon Rect Surg 1989;2:99–113.

    Google Scholar 

  11. Leitman IM, Paull DE and Shires GT, III. Evaluation and management of massive lower gastrointestinal hemorrhage. Ann Surg 1989;209:175–180.

    Article  PubMed  CAS  Google Scholar 

  12. Hui AJ, Wong RMY, Ching JYL, et al. Risk of colonoscopic polypectomy bleeding with anticoagulants and antiplatelet agents: analysis of 1657 cases. Gastrointest Endosc 2004;59:44–48.

    Article  PubMed  Google Scholar 

  13. Rex DK, Lewis BS and Waye JD. Colonoscopy and endoscopic therapy for delayed post-polypectomy hemorrhage. Gastrointest Endsoc 1992;38:127–129.

    Article  CAS  Google Scholar 

  14. Rosen L, Bub DS, Reed JF, III, et al. Hemorrhage following colonoscopic polypectomy. Dis Colon Rectum 1993;36:1126–1131.

    Article  PubMed  CAS  Google Scholar 

  15. Wai CT, Khor C, Lim SE, et al. Post-metallic stent placement bleeding caused by stent-induced ulcers. World J Gastroenterol 2005;11:5739–5741.

    PubMed  Google Scholar 

  16. Jensen DM, Machicado GA, Jutabha R, et al. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 2000;342:78–82.

    Article  PubMed  CAS  Google Scholar 

  17. Zuckerman GR and Prakash C. Acute lower intestinal bleeding: part I: clinical presentation and diagnosis. Gastrointest Endosc 1998;48:606–617.

    Article  PubMed  CAS  Google Scholar 

  18. Hoedema RE and Luchtefeld MA. The management of lower gastrointestinal hemorrhage. Dis Colon Rectum 2005;48:2010–2024.

    Article  PubMed  Google Scholar 

  19. Alavi A and Ring EJ. Localization of gastrointestinal bleeding: superiority of 99mTc sulfur colloid compared with angiography. AJR Am J Roentgenol 1981;137:741–748.

    PubMed  CAS  Google Scholar 

  20. Hunter JM and Pezim ME. Limited value of technetium 99m-labeled red cell scintigraphy in localization of lower gastrointestinal bleeding. Am J Surg 1990;159:504–506.

    Article  PubMed  CAS  Google Scholar 

  21. Levy R, Barto W and Gani J. Retrospective study of the utility of nuclear scintigraphic-labelled red cell scanning for lower gastrointestinal bleeding. ANZ J Surg 2003;73:205–209.

    Article  PubMed  Google Scholar 

  22. Ponzo F, Zhuang H, Liu FM, et al. Tc-99m sulfur colloid and Tc-99m tagged red blood cell methods are comparable for detecting lower gastrointestinal bleeding in clinical practice. Clin Nucl Med 2002;27:405–409.

    Article  PubMed  Google Scholar 

  23. Richter JM, Christensen MR, Kaplan LM, et al. Effectiveness of current technology in the diagnosis and management of lower gastrointestinal hemorrhage. Gastrointest Endosc 1995;41:3–98.

    Article  Google Scholar 

  24. Duchesne J, Jacome T, Serou M, et al. CT-angiography for the detection of a lower gastrointestinal bleeding source. Am Surg 2005;71:392–397.

    PubMed  CAS  Google Scholar 

  25. Ernst O, Bulois P, Saint-Drenant S, et al. Helical CT in acute lower gastrointestinal bleeding. Eur Radio 2003;13:114–117.

    Google Scholar 

  26. Junquera F, Quiroga S, Saperas E, et al. Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia. Gastroenterology 2000;119:293–299.

    Article  PubMed  CAS  Google Scholar 

  27. Kuhle WG and Sheiman RG. Detection of active colonic hemorrhage with use of helical CT: findings in a swine model. Radiology 2003;228:743–752.

    Article  PubMed  Google Scholar 

  28. O’Neill BB, Gosnell JE, Jull RJ, et al. Cinematic nuclear scintigraphy reliably directs surgical intervention for patients with gastrointestinal bleeding. Arch Surg 2000;135:1076–1081.

    Article  PubMed  Google Scholar 

  29. McGuire HH, Jr. Bleeding colonic diverticula. A reappraisal of natural history and management. Ann Surg 1994;20:653–656.

    Article  Google Scholar 

  30. Stabile BE and Stamos MJ. Surgical management of gastrointestinal bleeding. Gastroenterol Clin NA 2000;29:189–222.

    Article  CAS  Google Scholar 

  31. Zuccaro G, Jr. Management of the adult patient with acute lower gastrointestinal bleeding. Am J Gastroenterol 1998;93:1202–1208.

    Article  PubMed  Google Scholar 

  32. Andress HJ, Mewes A and Lange V. Endoscopic hemostasis of a bleeding diverticulum of the sigmoid with fibrin sealant. Endoscopy 1993;25:193.

    Article  PubMed  CAS  Google Scholar 

  33. Bloomfeld RS, Rockey DC and Shetzline MA. Endoscopic therapy of acute diverticular hemorrhage. Am J Gastroenterol 2001;96:2367–2372.

    Article  PubMed  CAS  Google Scholar 

  34. Hokama A, Uehara T, Nakayoshi T, et al. Utility of endoscopic hemoclipping for colonic diverticular bleeding. Am J Gastroenterol 1997;92:543–546.

    PubMed  CAS  Google Scholar 

  35. Ramirez FC, Johnson DA, Zierer ST, et al. Successful endoscopic hemostasis of bleeding colonic diverticula with epinephrine injection. Gastrointest Endosc 1996;43:167–170.

    Article  PubMed  CAS  Google Scholar 

  36. Bandi R, Shetty PC, Sharma RP, et al. Superselective arterial embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 2001;12:1399–1405.

    Article  PubMed  CAS  Google Scholar 

  37. DeBarros J, Rosas L, Cohen J, et al. The changing paradigm for the treatment of colonic hemorrhage: superselective angiographic embolization. Dis Colon Rectum 2002;45:80–808.

    Article  Google Scholar 

  38. Funaki B. Microcatheter embolization of lower gastrointestinal hemorrhage: an old idea whose time has come. Cardiovasc Intervent Radiol 2004;27:591–599.

    Article  PubMed  Google Scholar 

  39. Funaki B, Kostelic JK, Lorenz J, et al. Superselective microcoil embolization of colonic hemorrhage. AJR Am J Roentgenol 2001;177:829–836.

    PubMed  CAS  Google Scholar 

  40. Darcy M. Treatment of lower gastrointestinal bleeding: vasopressin infusion versus embolization. J Vasc Interv Radiol 2003;14:535–543.

    PubMed  Google Scholar 

  41. Evangelista PT and Hallisey MJ. Transcatheter embolization for acute lower gastrointestinal hemorrhage. J Vasc Interv Radiol 2000;11:601–606.

    Article  PubMed  CAS  Google Scholar 

  42. Guy GE, Shetty PC, Sharma RP, et al. Acute lower gastrointestinal hemorrhage: treatment by superselective embolization with polyvinyl alcohol particles. AR Am J Roentgenol 1992;159:521–526.

    CAS  Google Scholar 

  43. Janne d’Othee B, Suprapaneni P, Rabkin D et al. Microcoil embolization for acute lower gastrointestinal bleeding. Cardiovasc Intervent Radiol 2006;29:49–58.

    Article  PubMed  Google Scholar 

  44. Kuo WT, Lee DE, Saad WEA, et al. Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 2003;14:1503–1509.

    PubMed  Google Scholar 

  45. Luchtefeld MA, Senagore AJ, Szomstein M, et al. Evaluation of transarterial embolization for lower gastrointestinal bleeding. Dis Colon Rectum 2000;43:532–534.

    Article  PubMed  CAS  Google Scholar 

  46. Nicholson AA, Etles DF, Hartley JE, et al. Transcatheter coil embolotherapy: a safe and effective option for major colonic hemorrhage. Gut 1998;43:79–84.

    Article  PubMed  CAS  Google Scholar 

  47. Renzulli P, Maurer CA, Netzer P, et al. Subtotal colectomy with primary ileoproctostomy is effective for unlocalized, diverticular hemorrhage. Langenbecks Arch Surg 2002;387:67–71.

    Article  PubMed  Google Scholar 

  48. Billingham RP. The conundrum of lower gastrointestinal bleeding. Surg Clin NA 1997;77:241–252.

    Article  CAS  Google Scholar 

  49. Goldberger LE and Bookstein JJ. Transcatheter embolization for the treatment of diverticular hemorrhage. Radiology 1977;122:613–617.

    PubMed  CAS  Google Scholar 

  50. Kickuth R, Rattunde H, Gschossmann J, et al. Acute lower gastrointestinal hemorrhage: minimally invasive management with microcatheter embolization. J Vasc Interv Radiol 2008;19:1289–1296.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Christopher R. Mantyh .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2010 Springer Science+Business Media, LLC

About this chapter

Cite this chapter

Olcese, V.A., Mantyh, C.R. (2010). Bleeding Colonic Tumors. In: Pryor, A., Pappas, T., Branch, M. (eds) Gastrointestinal Bleeding. Springer, New York, NY. https://doi.org/10.1007/978-1-4419-1693-8_15

Download citation

  • DOI: https://doi.org/10.1007/978-1-4419-1693-8_15

  • Published:

  • Publisher Name: Springer, New York, NY

  • Print ISBN: 978-1-4419-1692-1

  • Online ISBN: 978-1-4419-1693-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics