Angiography versus colonoscopy in patients with severe lower gastrointestinal bleeding: a nation-wide observational study.

ABSTRACT:

Aim

Clinical guidelines for acute lower gastrointestinal bleeding (LGIB) recommend non-endoscopic treatment when endoscopic treatment is difficult or the patient is hemodynamically unstable. The aim of this study was to investigate whether angiography should be prioritized as initial treatment for severe LGIB patients over colonoscopy.

Methods

We undertook a retrospective cohort study using the Japanese Diagnosis Procedure Combination inpatient database. We compared adult patients who underwent colonoscopy or angiography within 1 day of admission for severe LGIB from 2010 to 2017. The primary outcome was in-hospital mortality. Secondary outcomes included surgery carried out within 1 day after admission and surgery carried out between 2 and 7 days of admission. Propensity sco

SUBMITTER: Miyakuni Y 

PROVIDER: S-EPMC7326725 | biostudies-literature | 2020 Jan-Dec

REPOSITORIES: biostudies-literature