Effectiveness of Conservative Treatment without Early Colonoscopy in Patients with Colonic Diverticular Hemorrhage
Table 2
Treatment outcomes.
Conservative treatment (n = 137)
Urgent hemostasis (n = 5)
-value
Hemostasis
137 (100%)
5 (100%)
Mortality
Bleeding
0 (0%)
0 (0%)
0.978
Others
1 (0.7%)
0 (0%)
Blood transfusion
60 (43.8%)
5 (100%)
0.003
Units of blood (mean ± SD)
2.7 ± 4.0
10.0 ± 3.3
0.0002
Hb level during transfusion (g/dL, mean ± SD)
7.2 ± 1.3
7.0 ± 1.5
Hemorrhagic shock (systolic BP < 90 mmHg)
11 (8.0%)
5 (100%)
<0.0001
Periods of fasting (days, mean ± SD)
4.1 ± 1.7 (1–9)
4.8 ± 1.9 (4–7)
0.342
Length of hospitalization (days, mean ± SD)
11.3 ± 5.9 (3–34)
19.2 ± 21.4 (9–30)
0.040
Hospitalization costs (USD, mean ± SD)
4270.68 ± 2452.30
8237.28 ± 3211.87 7169.06 ± 2168.09
0.0001
0.047
Early rebleeding
10 (7.3%)
0 (0%)
0.690
Recurrent bleeding
29 (22.7%)
1 (20%)
0.685
SD, standard deviation; Hb, hemoglobin; BP, blood pressure; USD, the United States dollar. Three of five patients underwent endoscopic hemostasis, and the other two patients underwent transcatheter arterial embolization, resulting in successful hemostasis in all patients. Except the two patients who received interventional radiology treatment, all patients achieved spontaneous hemostasis after early rebleeding.
