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Procedures - Advanced imaging

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Video case report
Open Access
Effectiveness of endoscopic Doppler probe ultrasonography for identifying the source of colonic diverticular bleeding
VideoGIE
Vol. 5Issue 6p255–256Published online: April 28, 2020
- Yasutoshi Shiratori
- Takashi Ikeya
- Katsuyuki Fukuda
Cited in Scopus: 0
- Video
Colonic diverticular bleeding (CDB) is the most common cause of acute lower GI bleeding. The diagnosis of CDB is made through detection of the stigmata of recent hemorrhage (SRH).¹^,² To increase the rate of SRH identification, bowel preparation, water-jet endoscope, and transparent hood have been recommended.³ Despite the use of these methods, the rate of SRH identification is only 15% to 40%.¹ Even if blood or blood clots are present in the diverticulum, these areas are not always the source of bleeding; in some cases, blood from the bleeding diverticulum flows into other areas.