Analysis of the factors influencing the outcome of bleeding of the lower digestive tract.

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COD: 04_2838 Categorie: ,

Umberto Robustelli, Mauro Andreano, Maria Candida, Massimo Antropoli,
Francesco Ambrosino, Alessandro Esposito

Ann. Ital. Chir., 2018 89, 3: 212-216

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The authors present a series of 15 patients with lower gastrointestinal bleeding. 11 (73%) out of 15 patients, were
directly subjected to surgery, and 4 (37%) attempted to stop hemorrhage with angiography. In the group of patients
undergoing surgery we had a mortality of 1 out of 12 (8%). In the group of patients undergoing embolization, two of
four died with 50% of mortality. All patients undergoing surgery had received from a minimum of two to a maximum
of four blood bags before surgery. 8 out of 12 patients (67%) received more than two bags. In 10 (67%) out of 15
patients TC scan preoperatively identified the site of bleeding. 10 cases out of 15 patients was evident Anticoagulant or
antiplatelet use. In the group of patients undergoing surgical treatment with haemorrhage stopping 60% (6 out of 10)
did not take these drugs. No patient had significant alterations to the INR value. Patients undergoing Surgical treatment
without haemorrhage stopping had an average age significantly higher than the group with haemorrhage stopping
(84 aa vs 54.2). In this group CT scan had identified the source of bleeding in one patient on two (50%) and all
patients In the group of deceased patients, the average age was 78 aa, the tac had never identified the site of bleeding,
and all had antiaggregates. In the group of deceased patients, the average age was 78 aa, CT scan had never identified
the site of bleeding, and all In the group of deceased patients, the average age was 78 aa, the tac had never identified
the site of bleeding, and all had antiaggregates.

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