Acute LOWER GI bleeding 🩸
#MedTwitter #GITwitter #ACG2022
⚠️Black >>> white for diverticular bleeding and rates are 📈
Urgent colonoscopy in acute lower GI bleed?
Verdict? Urgent colonoscopy does NOT improve outcomes.
Stigmata predict natural history 🔮 🩸
Endoscopic treatment is guided by anatomy:
🔦base: mechanical
🔦neck: thermal
⚠️Cap can help evert diverticulum!
💩Split-dose prep🥇
☢️Imaging in LGIB
⚠️Perform angiography soon after positive CTA
#Surgery is last resort ✂️
⚠️TRY to localize first 🌎
Management of acute hematochezia 🩸
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