The Red Section | Published:

Diagnosis and treatment of definitive diverticular hemorrhage (DDH)

The American Journal of Gastroenterologyvolume 113pages15701573 (2018) | Download Citation

Subjects

Access optionsAccess options

Rent or Buy article

Get time limited or full article access on ReadCube.

from$8.99

All prices are NET prices.

References

  1. 1.

    Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997;92:419–24.

  2. 2.

    Jensen DM, Machicado GA. Diagnosis and treatment of severe hematochezia—the role of urgent colonoscopy after purge. Gastroenterology. 1988;95:1569–74.

  3. 3.

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

  4. 4.

    Jensen DM.Diverticular Bleeding: An Appraisal Based Upon Stigmata of Recent Hemorrhage. Tech Gastrointest Endosc. 2001;3:192–8.

  5. 5.

    Strate LL, Gralnek IM. ACG clinical guideline: management of patients with acute lower gastrointestinal bleeding. Am J Gastroenterol. 2016;111:459–74.

  6. 6.

    Jensen DM, Ohning GV, Kovacs TOG, Jutabha R, Ghassemi K, Machicado GA, Dulai GS. Natural history of definitive diverticular hemorrhage based upon stigmata of recent hemorrhage and doppler blood flow monitoring for risk stratification and definitive hemostasis. Gastrointest Endosc. 2016;83:416–23.

  7. 7.

    Savides TJ, Jensen DM, Machicado GA, Hirabayashi K. Colonoscopic hemostasis for recurrent diverticular hemorrhage associated with a visible vessel: a report of three cases. Gastrointest Endosc. 1994;40:70–73.

  8. 8.

    Jensen DM, Jensen ME, Kovacs TOG, Ghassemi KA, Ohning GV, Kaneshiro M, Sedarat A, Dulai GS, Machicado GA. Flat spots are unrecognized as stigmata for diagnosis of definitive diverticular hemorrhage in the colon. Gastrointest Endosc. 2017;85:AB247.

  9. 9.

    Jensen DM, Kovacs TOG, Ohning GV, Ghassemi K, Machicado GA, Dulai GS, Sedarat A, Jutabha R, Gornbein J. Doppler endoscopic probe monitoring for blood flow improves risk stratification and outcomes of patients with severe non-variceal UGI hemorrhage. Gastroenterology. 2017;152:1310–8.

  10. 10.

    Ishii N, Hirata N, Omata F, Itoh T, Uemura M, Matsuda M, et al. Location in the ascending colon is a predictor of refractory colonic diverticular hemorrhage after endoscopic clipping. Gastrointest Endosc. 2012;76:1175–81.

  11. 11.

    Kawanishi K, Kato J, Kakimoto T, et al. Risk of colonic diverticular rebleeding according to endoscopic appearance. Endosc Int Open. 2018;06:E36–E42.

  12. 12.

    Jensen DM, Kovacs TOG, Jutabha R, Machicado GA, Gralnek IM, Savides TJ, Smith J, Jensen ME, Alofaituli G, Gornbein J. Randomized, controlled trial of medical therapy compared to endoscopic therapy for prevention of recurrent ulcer hemorrhage in patients with non-bleeding adherent clots. Gastroenterology. 2002;123:407–13.

  13. 13.

    Johnston JH, Jensen DM, Auth D. Experimental comparison of endoscopic Yttrium aluminum-Garnet laser, electrosurgery, and heater probe for canine gut arterial coagulation: the importance of vessel compression and avoidance of tissue erosion. Gastroenterology. 1987;92:1101–8.

Download references

Author information

Affiliations

  1. CURE Hemostasis Research Group, CURE Digestive Diseases Research Center, Division of Digestive Diseases, Ronald Reagan Medical Center, David Geffen School of Medicine at UCLA, Los Angeles, CA, USA

    • Dennis M Jensen MD
  2. VA Greater Los Angeles Healthcare System, Los Angeles, CA, USA

    • Dennis M Jensen MD

Authors

  1. Search for Dennis M Jensen MD in:

Guarantor of the article

DM Jensen, MD.

Specific author contributions

DMJ wrote the article.

Financial support

The CURE Hemostasis studies reported herein were funded by VA Clinical Merit Review Grants (CLIN-013-07F and 5I01CX001403-02) and CURE DDRC Human Studies CORE. (NIH-NIDDK P30-4130).

Potential competing interests

DMJ is a consultant and on the Speakers Bureaus for Vascular Technology Inc. and Boston Scientific Corporation.

Corresponding author

Correspondence to Dennis M Jensen MD.

About this article

Publication history

Received

Accepted

Published

DOI

https://doi.org/10.1038/s41395-018-0061-4