diverticular hemorrhage

憩室出血

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1. 出血,(特に)大量出血 / 多量に出血する

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• 1. 大腸憩室出血 colonic diverticular bleeding
• 2. 成人における急性下部消化管出血に対するアプローチ approach to acute lower gastrointestinal bleeding in adults
• 3. 結腸憩室症および結腸憩室疾患：疫学、危険因子、および病因 colonic diverticulosis and diverticular disease epidemiology risk factors and pathogenesis
• 4. 成人における下部消化管出血の病因 etiology of lower gastrointestinal bleeding in adults
• 5. 成人におけるごく少量の直腸からの出血へのアプローチ approach to minimal bright red bleeding per rectum in adults

English Journal

• Predictors for identification of stigmata of recent hemorrhage on colonic diverticula in lower gastrointestinal bleeding.

• Niikura R1, Nagata N, Aoki T, Shimbo T, Tanaka S, Sekine K, Kishida Y, Watanabe K, Sakurai T, Yokoi C, Yanase M, Akiyama J, Mizokami M, Uemura N.
• Journal of clinical gastroenterology.J Clin Gastroenterol.2015 Mar;49(3):e24-30. doi: 10.1097/MCG.0000000000000140.
• GOALS: The aim of this study was to identify predictors for the identification of stigmata of recent hemorrhage (SRH) on colonic diverticula.BACKGROUND: Several factors influence the identification of SRH in the diagnosis of colonic diverticular bleeding.STUDY: A total of 396 patients hospitalized f
• PMID 24859714

• High-dose barium impaction therapy for the recurrence of colonic diverticular bleeding: a randomized controlled trial.

• Nagata N1, Niikura R, Shimbo T, Ishizuka N, Yamano K, Mizuguchi K, Akiyama J, Yanase M, Mizokami M, Uemura N.
• Annals of surgery.Ann Surg.2015 Feb;261(2):269-75. doi: 10.1097/SLA.0000000000000658.
• OBJECTIVE: We compared the clinical efficacy of barium therapy and conservative therapy in preventing recurrence in patients with diverticular bleeding.BACKGROUND: Previous case reports have indicated that barium impaction therapy provides initial hemostasis for diverticular bleeding and prevention
• PMID 25569028

• Impact of discontinuing non-steroidal antiinflammatory drugs on long-term recurrence in colonic diverticular bleeding.

• Nagata N1, Niikura R1, Aoki T1, Shimbo T1, Sekine K1, Okubo H1, Watanabe K1, Sakurai T1, Yokoi C1, Akiyama J1, Yanase M1, Mizokami M1, Uemura N1.
• World journal of gastroenterology : WJG.World J Gastroenterol.2015 Jan 28;21(4):1292-8. doi: 10.3748/wjg.v21.i4.1292.
• AIM: To determine the effect of discontinuing non-steroidal antiinflammatory drugs (NSAIDs) on recurrence in long-term follow-up patients with colonic diverticular bleeding (CDB).METHODS: A cohort of 132 patients hospitalized for CDB examined by colonoscopy was prospectively enrolled. Comorbidities,
• PMID 25632204

Japanese Journal

• C型慢性肝疾患患者におけるC型肝炎ウイルス自然陰性化：当院での後ろ向き研究

• 肝臓 56(8), 414-421, 2015
• NAID 130005095197

• 大腸憩室出血に対する留置スネアによる結紮止血法

• Progress of Digestive Endoscopy 86(1), 87-89, 2015
• NAID 130005084329

• 内視鏡的クリッピング法が有効だった十二指腸憩室出血の1例

• Progress of Digestive Endoscopy 86(1), 152-153, 2015
• NAID 130005084290

Related Links

• Diverticular Disease: Management of Diverticular Hemorrhage

Diverticular hemorrhage is the most common cause of lower gastrointestinal bleeding in Westernized cultures. Fortunately, the majority of diverticular bleeds will spontaneously resolve; however, 20% of patients will ...

• Colonic Diverticulosis and Diverticular Hemorrhage

COLONIC BLOOD SUPPLY Understanding the vascular supply to the colon and the collateral blood flow assists in defining a source of hemorrhage and in the ultimate control of the site of continued bleeding. The major arteries that ...

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★リンクテーブル★

リンク元	「憩室出血」
関連記事	「diverticular」「hemorrhage」

「憩室出血」

　　[★]

英

diverticular bleeding, diverticular hemorrhage

同

憩室性出血、出血性憩室

関

憩室症、大腸憩室症、大腸憩室、結腸憩室症、結腸憩室

[show details]

en

diverticular bleeding : 約 21,000 件
diverticular hemorrhage : 約 6,350 件

ja

diverticular bleeding : 88 件
diverticular hemorrhage : 49 件

原因

• 結腸憩室症の合併症として生じうる。右側型に多い。
• 憩室周囲の血管の破綻。 (消化器疾患ビジュアルブック p.131)

症状

• 憩室出血では下血がみられるが、腹痛は伴わないとされる(QB.A-229)

検査

• 造影CT：活動性出血がある場合には腸管内への造影剤漏出が認められる　　←　　ダイナミック造影CTをとるといいらしいよ。

「diverticular」

　　[★]

• 憩室の

関

diverticula、diverticulum

「hemorrhage」

　　[★]

• n.

• 出血

関

bleeding