ENDOSCOPIC HEMOSTASIS IN PATIENTS WITH RECURRENT BLEEDING FROM OCCASIONAL DIVERTICULA OF THE SIGMOID COLON ASSOCIATED WITH ANTICOAGULANTS: REPORT OF TWO CASES

Abstract

Bleeding from colon diverticula is the most common cause of lower gastrointestinal bleeding. Most studies indicate an increased risk of bleeding in right-sided and total lesion of diverticulosis of the colon. In this report we describe two cases of bleeding from occasional diverticula of the sigmoid colon in elderly patients with severe comorbid status receiving anticoagulants and nonsteroidal anti-inflammatory drugs. The study evaluated the efficacy of hemostasis with plugging diverticula using hemostatic material "Surgicell Fibrillar" and preventive argonon - plasma coagulation of peridiverticular vessels. The most effective was an active tactics using primary endoscopic hemostasis with plugging diverticula using hemostatic material "Surgicell Fibrillar". The following preventive coagulation of peridiverticular vessels allowed to avoid recurrent diverticular bleeding, frequently requiring complex intensive therapy and possible surgery.