The aim of this study is to review our institution's experience and compare it to the growing body of evidence on arterial embolization of LGIB.
This study is a retrospective analysis of patients presenting with LGIB treated with super-selective embolization.
Clinical success was defined as normalisation of vital signs, no further need for fluid resuscitation, transfusion requirement of less than two units of packed red blood cells, and no further radiologically demonstrated LGIB and subsequent further intervention for ongoing LGIB.
Most of the causes leading to LGIB may not need any intervention but investigation is important so that life threatening conditions are not missed.
A total of 80 children with age range of 2-18 years (mean 5.83 + 2.89 SD) with painless LGIB underwent colonoscopy to determine the causes of lower gastrointestinal tract bleeding.
LGIB is a common cause of visits to the clinics; but its exact epidemiology especially with reference to histopathology has not been well studied7-11.
Total of 80 pediatric patients from 1 to 18 years of age and of both genders presenting with painless LGIB for more than four weeks were included in the study.
Patients were categorized as being in either the UGIB or the LGIB group by the results of gastroscopy and/or colonoscopy.
Of those, 155 patients were diagnosed as UGIB and 43 patients had LGIB. The other 8 patients had no identified causes of GIB.
The first three cases presented with LGIB for the first time and multiple EVL was done.
The application of band on a normal looking mucosa on endoscopically inevident rectal varices stopped bleeding in a case of LGIB operated for internal hemorrhoids .