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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


JALDIN ALVAREZ, Daniel. Combined endoscopic therapy for colonic diverticular bleeding . Gac Med Bol [online]. 2020, vol.43, n.2, pp.219-222. ISSN 1012-2966.

Diverticular bleeding is the most common cause of lower GI bleeding. The bleeding is most often abrupt, painless and abundant. Most of the bleeding diverticula  are located on the right side of the colon, this bleeding is self-limited in up to 80% of cases. When it is not, it could turn into a difficult situation to manage. The management of these bleeds can vary from conservative to an endoscopic, arteriography plus embolization and surgical. Among the endoscopic management alternatives, we have injection therapy, thermal therapy, hemoclips, band ligation. The present case is about a patient with diverticular bleeding who underwent combined endoscopic therapy, adrenaline infiltration, indirect application of hemoclips, and topical application of tranexamic acid, which is an antifibrinolytic.

Keywords : Diverticular bleeding; hemostasis; epinephrine; clipping; tranexamic acid.

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