摘要
AIM:Toevaluatetheeffectivenessofbariumimpactiontherapyforpatientswithcolonicdiverticularbleeding.METHODS:WereviewedtheclinicalchartsofpatientsinwhomtherapeuticbariumenemawasperformedforthecontrolofdiverticularbleedingbetweenAugust2010andMarch2012atYokohamaRosaiHospital.Twentypatientswereincludedinthereview,consistingof14menand6women.Themedianageofthepatientswas73.5years.Thedurationofthefollowupperiodrangedfrom1to19mo(median:9.8mo).Amongthe20patientswere11patientswhorequiredtheprocedureforre-bleedingduringhospitalization,6patientswhorequireditforre-bleedingthatdevelopedafterthepatientleftthehospital,and3patientswhorequiredtheprocedureforthepreventionofrebleeding.Barium(concentration:150w%/v%)wasadministeredpertherectum,andtheleadingedgeofthecontrastmediumwasfolloweduptothececumbyfluoroscopy.Afterconfirmationthattheascendingcolonandcecumwerefilledwithbarium,theenematubewaswithdrawn,andthepatient’spositionwaschangedevery20minfor3h.RESULTS:Twelvepatientsremainedfreeofrebleedingduringthefollow-upperiod(range:1-19mo)afterthetherapeuticbariumenema,including9menand3womenwithamedianageof72.0years.Re-bleedingoccurredin8patientsincluding5menand3womenwithamedianageof68.5years:4developedearlyre-bleeding,definedasre-bleedingthatoccurswithinoneweekaftertheprocedure,andtheremaining4developedlatere-bleeding.TheDFI(disease-freeinterval)decreased0.4for12mo.Onlyonepatientdevelopedacomplicationfromtherapeuticbariumenema(colonicperforation).CONCLUSION:Therapeuticbariumenemaiseffectiveforthecontrolofdiverticularhemorrhageincaseswheretheactivebleedingsitecannotbeidentifiedbycolonoscopy.
出版日期
2015年12月22日（中国期刊网平台首次上网日期，不代表论文的发表时间）
