Atlas of Gastroenterological Endoscopy
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Diverticular hemorrhage with huge visible vessel
Diverticular hemorrhage with huge visible vessel This huge arterial vessel on the ground of a diverticulum led to a massive gastrointestinal hemorrhage. Injection of a fibrinous clot stopped the bleeding. A bleeding diverticulum is a common cause of lower gastrointestinal hemorrhage (20-50 %). Incidence peaks between age 70 and 80.
Diverticular hemorrhage
Diverticular hemorrhage Diverticular hemorrhage
Small, visible vessel at the floor of a diverticulum, which led to a considerable blood loss. Fibrin glue is injected directly next to the vessel and additionally into the diverticular neck. This intervention stopps the hemorrhage. The diverticular lumen is partially obstructed by the submucous injection (right). Since the localisation of lower gastrointestinal hemorrhage in an emergency setting very much depends on unobstructed vision, we use an automated rinsing device (endo washerŪ) fixed to the working channel. Thus a volume of 800-1000 ml/ min is available for rinsing.