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  1. NTU Scholars
  2. 醫學院
  3. 醫學系
Please use this identifier to cite or link to this item: https://scholars.lib.ntu.edu.tw/handle/123456789/541208
Title: Bedside colonoscopy for critically ill patients with acute lower gastrointestinal bleeding
Authors: Lin C.-C.
YI-CHIA LEE 
Lee H.
Lin J.-T.
Ho W.-C.
Chen T.-H.
HSIU-PO WANG 
Issue Date: 2005
Journal Volume: 31
Journal Issue: 5
Start page/Pages: 743-746
Source: Intensive Care Medicine
Abstract: 
Objective: To determine the clinical impact of bedside colonoscopy for critically ill patients with acute lower gastrointestinal (GI) bleeding. Design and setting: A 3-year retrospective analysis (chart review). Medical intensive care unit (ICU) of a 1,312-bed tertiary-care center in Taiwan. Patients and participants: Fifty-five people undergoing bedside colonoscopy for lower GI bleeding that developed while in the ICU. Interventions: Bedside colonoscopy. Measurements and results: Colonoscopy was successful in diagnosing the source of bleeding in 37 patients. Among them, colitis (15 patients, including ischemic, pseudomembranous, or radiation-induced) and acute hemorrhagic rectal ulcer (nine patients) were the most frequent confirmed causes. In seven patients, fresh blood was noticed above the colonoscopically accessible area and considered to originate from the small bowel. No adverse event was associated with colonoscopy. Spontaneous cessation of bleeding was noted in 29 (29/55, 53%) patients, whereas 16 (16/55, 29%) achieved endoscopic hemostasis. Ten (10/55, 18%) patients failed primary hemostasis or localization. Overall in-hospital mortality was 53% (29/55); however, hemorrhage-related death occurred in only two patients. Conclusions: ICU patients with acute lower GI bleeding have distinctive causes. Bedside colonoscopy is effective for diagnosis in two-thirds of patients, but only a minority of them needs endoscopic hemostasis. ? Springer-Verlag 2005.
URI: https://www.scopus.com/inward/record.uri?eid=2-s2.0-18844383475&doi=10.1007%2fs00134-005-2604-6&partnerID=40&md5=cf0c264162818e12e4befe7632b691b4
https://scholars.lib.ntu.edu.tw/handle/123456789/541208
ISSN: 0342-4642
DOI: 10.1007/s00134-005-2604-6
SDG/Keyword: acute disease; adult; aged; article; blood; colitis; colonoscopy; controlled study; critical illness; disease association; disease course; endoscopy; female; gastrointestinal hemorrhage; health center; hemostasis; hospital; hospital patient; human; intensive care unit; ischemic colitis; major clinical study; male; measurement; medical record; mortality; pseudomembranous colitis; radiation injury; rectum hemorrhage; rectum ulcer; retrospective study; small intestine; Taiwan; Acute Disease; Aged; Aged, 80 and over; Colonoscopy; Female; Gastrointestinal Hemorrhage; Humans; Intensive Care Units; Male; Middle Aged; Point-of-Care Systems; Retrospective Studies; Treatment Outcome
[SDGs]SDG3
Appears in Collections:醫學系

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臺大位居世界頂尖大學之列,為永久珍藏及向國際展現本校豐碩的研究成果及學術能量,圖書館整合機構典藏(NTUR)與學術庫(AH)不同功能平台,成為臺大學術典藏NTU scholars。期能整合研究能量、促進交流合作、保存學術產出、推廣研究成果。

To permanently archive and promote researcher profiles and scholarly works, Library integrates the services of “NTU Repository” with “Academic Hub” to form NTU Scholars.

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