Get 20M+ Full-Text Papers For Less Than $1.50/day. Start a 14-Day Trial for You or Your Team.

Learn More →

Segmental Isolation for Massive Colonic Hemorrhage

Segmental Isolation for Massive Colonic Hemorrhage Abstract THE EXACT site of bleeding from the gastrointestinal tract may be difficult to find at laparotomy or even at autopsy. Although diverticula of the colon have been reported with increasing frequency as the primary source of massive gastrointestinal hemorrhage,1-5 the paucity of recorded instances in which the actual bleeding site was seen at operation is striking.2,6-8 Moreover, the increasing reports of colon disease on the right side as responsible for massive hemorrhage1,5, 6,9-11 makes accurate localization even more important. This paper is written to reemphasize the value of a simple technique described by Maynard and Vorrhees7 for segmental localization of the bleeding point during operation for uncontrolled hemorrhage from the colon. In this way, risk of missed bleeding sites can be minimized and need for massive intestinal resection reduced. A patient in whom this method was successfully employed is cited. Report of a Case A References 1. Naer, R.J.: Hemorrhage as Complication of Diverticulitis , Ann Surg 141:674, 1955.Crossref 2. Quinn, W.C.: Gross Hemorrhage From Presumed Diverticular Disease of the Colon , Ann Surg 153:851, 1961.Crossref 3. Rives, J.D., and Emmett, R.O.: Melena: A Survey of 206 Cases , Amer Surg 20:458, 1954. 4. Ross, S.T.: Massive Hemorrhage From Diverticulitis , Dis Colon Rectum 3:441, 1960.Crossref 5. Stone, H.B.: Large Melena of Obscure Origin , Ann Surg 120:582, 1944.Crossref 6. Early, C.M.: The Management of Massive Hemorrhage From Diverticular Disease of the Colon , Surg Gynec Obstet 1098:49, 1959. 7. Maynard, E.F., III, and Vorrhees, A.B., Jr.: Arterial Hemorrhage From a Large Bowel Diverticulum , Gastroenterology 31:210, 1956. 8. Weingarten, M.L.; Venet, L.; and Victor, M.B.: Direct Observation of Massive Arterial Hemorrhage From a Diverticulum of the Hepatic Flexure , Gastroenterology 36:642, 1959. 9. Howard, M.A.: Management of Bleeding Diverticular of the Colon , Amer J Surg 100:217, 1960.Crossref 10. Miangolarra, C.J.: Diverticulitis of the Right Colon , Ann Surg 153:861, 1961.Crossref 11. Young, J.M., and Howorth, M.M.: Massive Hemorrhage in Diverticulosis: Possible Explanation of Cause With Presentation of Case Requiring Surgical Treatment , Ann Surg 140:128, 1954.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Segmental Isolation for Massive Colonic Hemorrhage

RICHMAN, HOWARD; PAYSON, BENJAMIN A.
Archives of Surgery , Volume 92 (1) – Jan 1, 1966
Download PDF
2 pages

Loading next page...
 
/lp/american-medical-association/segmental-isolation-for-massive-colonic-hemorrhage-Atjo0wvkvz

References (14)

Publisher
American Medical Association
Copyright
Copyright © 1966 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1966.01320190109026
Publisher site
See Article on Publisher Site

Abstract

Abstract THE EXACT site of bleeding from the gastrointestinal tract may be difficult to find at laparotomy or even at autopsy. Although diverticula of the colon have been reported with increasing frequency as the primary source of massive gastrointestinal hemorrhage,1-5 the paucity of recorded instances in which the actual bleeding site was seen at operation is striking.2,6-8 Moreover, the increasing reports of colon disease on the right side as responsible for massive hemorrhage1,5, 6,9-11 makes accurate localization even more important. This paper is written to reemphasize the value of a simple technique described by Maynard and Vorrhees7 for segmental localization of the bleeding point during operation for uncontrolled hemorrhage from the colon. In this way, risk of missed bleeding sites can be minimized and need for massive intestinal resection reduced. A patient in whom this method was successfully employed is cited. Report of a Case A References 1. Naer, R.J.: Hemorrhage as Complication of Diverticulitis , Ann Surg 141:674, 1955.Crossref 2. Quinn, W.C.: Gross Hemorrhage From Presumed Diverticular Disease of the Colon , Ann Surg 153:851, 1961.Crossref 3. Rives, J.D., and Emmett, R.O.: Melena: A Survey of 206 Cases , Amer Surg 20:458, 1954. 4. Ross, S.T.: Massive Hemorrhage From Diverticulitis , Dis Colon Rectum 3:441, 1960.Crossref 5. Stone, H.B.: Large Melena of Obscure Origin , Ann Surg 120:582, 1944.Crossref 6. Early, C.M.: The Management of Massive Hemorrhage From Diverticular Disease of the Colon , Surg Gynec Obstet 1098:49, 1959. 7. Maynard, E.F., III, and Vorrhees, A.B., Jr.: Arterial Hemorrhage From a Large Bowel Diverticulum , Gastroenterology 31:210, 1956. 8. Weingarten, M.L.; Venet, L.; and Victor, M.B.: Direct Observation of Massive Arterial Hemorrhage From a Diverticulum of the Hepatic Flexure , Gastroenterology 36:642, 1959. 9. Howard, M.A.: Management of Bleeding Diverticular of the Colon , Amer J Surg 100:217, 1960.Crossref 10. Miangolarra, C.J.: Diverticulitis of the Right Colon , Ann Surg 153:861, 1961.Crossref 11. Young, J.M., and Howorth, M.M.: Massive Hemorrhage in Diverticulosis: Possible Explanation of Cause With Presentation of Case Requiring Surgical Treatment , Ann Surg 140:128, 1954.Crossref

Journal

Archives of Surgery – American Medical Association

Published: Jan 1, 1966

There are no references for this article.