Severe acute lower gastrointestinal bleeding (SALGIB)
Conditions
Interventions
Control group:None
Experimental group:PEG bowel preparation before colonoscopy
Sponsors
West China Hospital, Sichuan University
Eligibility
Sex/Gender
All
Age
18 Years to 100 Years
Inclusion criteria
Inclusion criteria: 1. Aged >=18 years; 2. Patients with new acute lower gastrointestinal hemorrhage, or those who come to the hospital within 24 hours after the correction of acute lower gastrointestinal hemorrhage and hemorrhagic shock. New onset of acute lower gastrointestinal bleeding: blood in the stool with any of the following manifestations within 24 hours: (1) Hematochezia within 8 hours, and Oakland score > 8; (2) Hemorrhagic shock: shock index > 1; (3) Heart rate > 100 beats/min and systolic blood pressure 30 mm Hg from the usual level in the absence of vasoactive drugs); (4) The hemoglobin decreased by more than 30 g/L within 24 hours (the hematocrit decreased by about 9%); 3. Sign informed consent.
Exclusion criteria
Exclusion criteria: 1. Previous diagnosis of inflammatory bowel disease (ulcerative colitis or Crohn's disease); 2. Patients with suspected gastrointestinal perforation and peritonitis; 3. Those who have been diagnosed with intestinal malignant tumor in the past; 4. History of total colectomy; 5. Combined with primary coagulation disorders, such as hemophilia; 6. Pregnant and lactating patients.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Detection rate of recent bleeding lesions; | — |
Countries
China
Contacts
Public ContactXiao Xue
West China Hospital, Sichuan University
Outcome results
None listed