Massive lower gastro-intestinal bleeding can be managed 90% of the time non surgically through a combination of therapeutic colonoscopy and triple vessel angiography ( a radiology technique).
CT angio gram showing contrast extravasation in the sigmoid colon on the left side. Fluoroscopy and angiogram in the middle and right panels depicted.
Colonoscopy and injection sclerotherapy to stop internal bleeding from diverticula dissease, the commonest cause of lower gastro-intestinal bleeding.
A technique using a colonoscopy and a snare passed through the working channel to lasso and apply energy to dissect and remove polyps. These are usually pre-cancerous growths in the coon that require removal.
Polyp seen in the left panel and subsequent snare applied in the right panel.
Solitary rectal ulcer
A condition that can be mistaken for rectal cancer. Requires biopsy and accurate diagnosis.