Diagnosis and management of jejunoileal diverticular haemorrhage: An update on the experience in a single centre

doi:10.1371/journal.pone.0234417

中山醫學大學機構典藏 CSMUIR > 中山醫學大學研究成果 > 期刊論文 > Item 310902500/24589

Please use this identifier to cite or link to this item: https://ir.csmu.edu.tw:8080/ir/handle/310902500/24589

Title:	Diagnosis and management of jejunoileal diverticular haemorrhage: An update on the experience in a single centre
Authors:	Su, HA;Hsu, YC;Siao, FY;Yen, HH
Date:	2020
Issue Date:	2022-08-09T08:04:49Z (UTC)
Publisher:	PUBLIC LIBRARY SCIENCE
ISSN:	1932-6203
Abstract:	Introduction Jejunoileal diverticular haemorrhage is a rare disease that is difficult to diagnose and treat. Despite advances in endoscopic technology, recommendations on diagnosis and management for jejunoileal diverticular haemorrhage have remained unchanged and these new options have not been compared against traditional surgical management. Materials and methods We retrospectively reviewed the diagnosis, management, and outcome for jejunoileal diverticular haemorrhage cases at our institution over the past 20 years. Data were organized and analysed by chi-square test, studentt-test and Kaplan-Meier survival analysis. Results The most utilised diagnostic procedure was computed tomography, followed by enteroscopy, angiography, small bowel flow-through and surgery. Primary treatments included, in a decreasing order, medical therapy, surgery, endoscopy and radiology. Surgical treatment was not associated with rebleeding, but it did result in longer hospital stays and larger blood transfusions than non-surgical treatments. The bleeding-related mortality rate was very low. Notably, there was also little change in the diagnosis and treatment between decades. Conclusion We presented our experience with the diagnosis and management of jejunoileal diverticular haemorrhage, as well as long-term follow-up after treatments that have not been reported previously. Surgical treatment continues to dominate management for jejunoileal diverticular haemorrhage, but we support increasing the role of endoscopy for select patient groups.
URI:	http://dx.doi.org/10.1371/journal.pone.0234417 https://www.webofscience.com/wos/woscc/full-record/WOS:000544972400043 https://ir.csmu.edu.tw:8080/handle/310902500/24589
Relation:	PLOS ONE ,2020 ,v15 ,issue 6
Appears in Collections:	[中山醫學大學研究成果] 期刊論文

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