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Gastroenterology Research and Practice
Volume 2014, Article ID 353508, 5 pages
http://dx.doi.org/10.1155/2014/353508
Review Article

Endoscopic Management of Diverticular Bleeding

1Section of Digestive Diseases, Department of Internal Medicine, Yale University School of Medicine, 333 Cedar Street, 1080 LMP, New Haven, CT 06520, USA
2Department of Internal Medicine, Yale University School of Medicine, New Haven, CT 06520, USA

Received 19 October 2014; Accepted 23 November 2014; Published 9 December 2014

Academic Editor: Rami Eliakim

Copyright © 2014 Tarun Rustagi and Thomas R. McCarty. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diverticular hemorrhage is the most common reason for lower gastrointestinal bleeding (LGIB) with substantial cost of hospitalization and a median length of hospital stay of 3 days. Bleeding usually is self-limited in 70–80% of cases but early rebleeding is not an uncommon problem that can be reduced with proper endoscopic therapies. Colonoscopy is recommended as first-line diagnostic and therapeutic approach. In the vast majority of patients diverticular hemorrhage can be readily managed by interventional endotherapy including injection, heat cautery, clip placement, and ligation to achieve endoscopic hemostasis. This review will serve to highlight the various interventions available to endoscopists with specific emphasis on superior modalities in the endoscopic management of diverticular bleeding.