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Endoscopic band ligation in diverticular bleeding: a stepwise approach for successful treatment

Published:February 21, 2017DOI:https://doi.org/10.1016/j.gie.2017.02.013
      A 90-year-old man presented to the emergency department with acute painless hematochezia. A previous colonoscopy 2 years earlier confirmed severe diverticulosis in the sigmoid colon with active bleeding from a diverticulum, which was treated with thermal therapy and endoscopic clipping. Digital rectal examination demonstrated gross bright red blood with no evidence of hemorrhoids. Vital signs were negative for hypotension or orthostasis. Laboratory findings included normal hemoglobin and hematocrit: 15.6 g/dL and 44.7%, respectively. Platelets, international normalized ratio, prothrombin time, and partial thromboplastin time were unremarkable.
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