Abstract

MORALES-JIMENEZ, María Fernanda; RODRIGUEZ-GALVAN, Adriana  and  ROJAS-MENDOZA, Fernando. Impacto de colonoscopia temprana en sangrado de tubo digestivo bajo. Endoscopia [online]. 2019, vol.31, suppl.2, pp.106-108.  Epub Feb 14, 2022. ISSN 2444-6483.  https://doi.org/10.24875/end.m19000061.

Lower gastrointestinal bleeding has an incidence of 33-87/100,000, clinical presentation can vary from rectorrhagia to melena. Currently we do not have studies that tell us what is the time indicated to perform colonoscopy and thus decrease the clinical results. The objective of our study was to assess and perform the colonoscopy in the first 24 hours to find the site of active bleeding, in addition to decrease the clinical results. A retrospective, cross-sectional study was conducted from January 2016 to May 2019, and a total of 167 patients diagnosed with lower gastrointestinal bleeding, with the following findings: 35.4% of the face diverticula, 24.1% hemorrhoidal disease, 18.4% colitis, 7.6% neoplasia, 5.7% of angioectasias. Of the patients who were actively bleeding in 89% of them, the colonoscopy was performed in the first 24 hours, however, this didn’t translate in less days of hospital stay, nor transfusions when comparing with those that realize colonoscopy after 24 hours. We need still need studies with a larger number of patients to evaluate clinical outcomes.

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