Search tips
Search criteria 


Logo of jrsocmedLink to Publisher's site
J R Soc Med. 1987 February; 80(2): 79–82.
PMCID: PMC1290675

Management of acute lower gastrointestinal haemorrhage in a surgical unit over a 4-year period.


Over a 4-year period 107 patients, 5% of all emergency admissions, were admitted to one surgical unit with significant lower gastrointestinal haemorrhage (requiring more than a 2-unit transfusion of blood). Twenty-three individuals required more than 3 units of blood, and 7 life-saving surgery. All subjects undergoing surgery required more than 3 units of blood in the first 24 hours of admission. Arteriography was diagnostic in 5 of the 9 subjects in whom it was performed. Arteriography was positive if performed in the first 24 hours of admission. A flow chart of the management of patients with lower gastrointestinal haemorrhage is presented.

Full text

Full text is available as a scanned copy of the original print version. Get a printable copy (PDF file) of the complete article (595K), or click on a page image below to browse page by page. Links to PubMed are also available for Selected References.

Selected References

These references are in PubMed. This may not be the complete list of references from this article.
  • Eaton AC. Emergency surgery for acute colonic haemorrhage--a retrospective study. Br J Surg. 1981 Feb;68(2):109–112. [PubMed]
  • McGuire HH, Jr, Haynes BW., Jr Massive hemorrhage for diverticulosis of the colon: guidelines for therapy based on bleeding patterns observed in fifty cases. Ann Surg. 1972 Jun;175(6):847–855. [PubMed]
  • Drapanas T, Pennington DG, Kappelman M, Lindsey ES. Emergency subtotal colectomy: preferred approach to management of massively bleeding diverticular disease. Ann Surg. 1973 May;177(5):519–526. [PubMed]
  • Baum S, Athanasoulis CA, Waltman AC, Galdabini J, Schapiro RH, Warshaw AL, Ottinger LW. Angiodysplasia of the right colon: a cause of gastrointestinal bleeding. AJR Am J Roentgenol. 1977 Nov;129(5):789–794. [PubMed]
  • HOAR CS, BERNHARD WF. Colonic bleeding and diverticular disease of the colon. Surg Gynecol Obstet. 1954 Jul;99(1):101–107. [PubMed]
  • NOER RJ. Hemorrhage as a complication of diverticulitis. Ann Surg. 1955 May;141(5):674–685. [PubMed]
  • MARGULIS AR, HEINBECKER P, BERNARD HR. Operative mesenteric arteriography in the search for the site of bleeding in unexplained gastrointestinal hemorrhage: a preliminary report. Surgery. 1960 Sep;48:534–539. [PubMed]
  • Athanasoulis CA, Galdabini JJ, Waltman AC, Novelline RA, Greenfield AJ, Ezpeleta ML. Angiodysplasia of the colon: a cause of rectal bleeding. Cardiovasc Radiol. 1977;1(1):3–13. [PubMed]
  • Wright HK, Pelliccia O, Higgins EF, Jr, Sreenivas V, Gupta A. Controlled, semielective, segmental resection for massive colonic hemorrhage. Am J Surg. 1980 Apr;139(4):535–538. [PubMed]
  • Boley SJ, DiBiase A, Brandt LJ, Sammartano RJ. Lower intestinal bleeding in the elderly. Am J Surg. 1979 Jan;137(1):57–64. [PubMed]
  • Farrands PA, Vellacott KD, Amar SS, Balfour TW, Hardcastle JD. Flexible fiberoptic sigmoidoscopy and double-contrast barium-enema examination in the identification of adenomas and carcinoma of the colon. Dis Colon Rectum. 1983 Nov;26(11):725–727. [PubMed]
  • Todd GJ, Forde KA. Lower gastrointestinal bleeding with negative or inconclusive radiographic studies: the role of colonoscopy. Am J Surg. 1979 Nov;138(5):627–628. [PubMed]
  • HOAR CS, BERNHARD WF. Colonic bleeding and diverticular disease of the colon. Surg Gynecol Obstet. 1954 Jul;99(1):101–107. [PubMed]
  • Bar AH, DeLaurentis DA, Parry CE, Keohane RB. Angiography in the management of massive lower gastrointestinal tract hemorrhage. Surg Gynecol Obstet. 1980 Feb;150(2):226–228. [PubMed]

Articles from Journal of the Royal Society of Medicine are provided here courtesy of Royal Society of Medicine Press