Observational Study
Copyright ©The Author(s) 2016.
World J Gastrointest Endosc. Dec 16, 2016; 8(20): 785-794
Published online Dec 16, 2016. doi: 10.4253/wjge.v8.i20.785
Table 3 Questions and answers regarding treatments of colonic diverticular bleeding in 37 hospitals n (%)
No.QuestionAnswer (n = 37)High volume (n = 18)Low volume (n = 19)P valueEast Japan (n = 21)West Japan (n = 16)P value
18What kind of endoscopic treatment do you perform as first-line therapy?
Clipping31 (83.8)15 (48.4)16 (51.6)1.00017 (54.8)14 (45.2)
Endoscopic band ligation5 (13.5)3 (60.0)2 (40.0)3 (60.0)2 (40.0)
Epinephrine injection1 (2.7)01 (100)1 (100)01.000
19What kinds of patient undergo non-endoscopic therapy?1
Patients with an unidentified bleeding source18 (48.7)10 (55.6)8 (44.4)0.4138 (44.4)10 (55.6)0.141
Patients with rebleeding27 (73.0)15 (55.6)12 (44.4)0.26917 (63.0)10 (37.0)0.274
Patients with hemorrhagic shock25 (67.6)15 (60.0)10 (40.0)0.07913 (52.0)12 (48.0)0.491
20What kind of non-endoscopic therapy do you perform as first-line therapy or when you are unable to identify SRH at endoscopy?
IVR24 (77.4)2 (50.0)2 (50.0)0.25310 (41.7)14 (58.3)
Surgery3 (9.7)14 (58.3)10 (41.7)3 (100)0
Barium impaction therapy4 (12.9)03 (100)3 (75.0)1 (25.0)0.145
21What kind of treatment do you perform to prevent rebleeding?1
Treatment of diabetes mellitus000NA00NA
Treatment of hypertension6 (17.1)2 (33.3)4 (66.7)0.6583 (50.0)3 (50.0)1.000
Discontinuation NSAIDs14 (40.0)7 (50.0)7 (50.0)0.89010 (71.4)4 (28.6)0.296
Discontinuation antithrombotic drugs22 (62.9)11 (50.0)11 (50.0)0.82615 (68.2)7 (31.8)0.086
Administrating vitamin D000NA00NA
Treatment of constipation14 (40.0)9 (64.3)5 (35.7)0.1296 (42.9)8 (57.1)0.163
Administrating a low fiber diet5 (14.3)2 (40.0)3 (60.0)1.0003 (60.0)2 (40.0)1.000
22Do you discontinue antithrombotic drugs on admission?
Yes22 (59.5)10 (45.5)12 (54.5)12 (54.6)10 (46.4)
No12 (32.4)7 (58.3)5 (41.7)6 (50.0)6 (50.0)
Case by case3 (8.1)1 (33.3)2 (66.7)0.6933 (100)00.398
23Do you have a strategy for restarting antithrombotic drugs?2
Yes4 (15.4)4 (100)004 (100)
No22 (84.6)6 (27.3)16 (72.7)0.01415 (68.2)7 (31.8)0.022