Chapter 12. Lower Gastrointestinal Bleeding

  1. Adam Brooks FRCS (Gen Surg), DMCC Consultant Senior Lecturer2,3,
  2. Bryan A. Cotton MD, MPH Associate Professor4,
  3. Lt Col Nigel Tai MS, FRCS (Gen Surg), RAMC Consultant Senior Lecturer3,5 and
  4. Col Peter F. Mahoney OBE, TD, MSc, FRCA, RAMC Defence Professor6
  1. J. Alastair D. Simpson Academic Specialist Registrar

Published Online: 10 MAR 2010

DOI: 10.1002/9781444315172.ch12

Emergency Surgery

Emergency Surgery

How to Cite

Simpson, J. A. D. (2010) Lower Gastrointestinal Bleeding, in Emergency Surgery (eds A. Brooks, B. A. Cotton, N. Tai and P. F. Mahoney), Wiley-Blackwell, Oxford, UK. doi: 10.1002/9781444315172.ch12

Editor Information

  1. 2

    Major Trauma Pathway Lead, General Surgery Service Lead, Nottingham University Hospital NHS Trust, Nottingham, UK

  2. 3

    Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, UK

  3. 4

    Department of Surgery and the Center for Translational Injury Research, The University of Texas Health Science Center, Houston, Texas, USA

  4. 5

    Defence Medical Services, Trauma Clinical Academic Unit, Royal London Hospital, Whitechapel, London, UK

  5. 6

    RCDM Birmingham Research, Park Vincent Drive, Birmingham, UK

Author Information

  1. Queen's Medical Centre, University Hospitals Trust, Nottingham, UK

Publication History

  1. Published Online: 10 MAR 2010
  2. Published Print: 31 JAN 2010

ISBN Information

Print ISBN: 9781405170253

Online ISBN: 9781444315172



  • lower gastrointestinal bleeding;
  • acute lower gastrointestinal (LGI) haemorrhage;
  • diverticular disease, common aetiology of major LGI haemorrhage;
  • anorectal disease - haemorrhoidal disease, common source of fresh LGI bleeding;
  • ischaemic colitis, accounting for LGI bleeding;
  • clinically relevant bleeding, patients undergoing colonoscopic polypectomy;
  • common investigative techniques of LGI haemorrhage;
  • surgical management of lower gastrointestinal bleeding;
  • angiography, an invasive procedure - selective catheterisation of arterial supply to gastrointestinal tract


This chapter contains sections titled:

  • Introduction

  • Clinical presentation

  • Diagnostic procedures

  • Surgical management of lower gastrointestinal bleeding

  • Further reading