{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T13:13:10Z","timestamp":1789737190385,"version":"4.0.1"},"reference-count":48,"publisher":"Elsevier BV","issue":"6","license":[{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/tdm\/userlicense\/1.0\/"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/www.elsevier.com\/legal\/tdmrep-license"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-017"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-037"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-012"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-029"},{"start":{"date-parts":[[2022,12,1]],"date-time":"2022-12-01T00:00:00Z","timestamp":1669852800000},"content-version":"stm-asf","delay-in-days":0,"URL":"https:\/\/doi.org\/10.15223\/policy-004"}],"content-domain":{"domain":["clinicalkey.com","clinicalkey.com.au","clinicalkey.es","clinicalkey.fr","clinicalkey.jp","elsevier.com","sciencedirect.com"],"crossmark-restriction":true},"short-container-title":["Journal of Visceral Surgery"],"published-print":{"date-parts":[[2022,12]]},"DOI":"10.1016\/j.jviscsurg.2022.08.005","type":"journal-article","created":{"date-parts":[[2022,11,12]],"date-time":"2022-11-12T07:31:14Z","timestamp":1668238274000},"page":"486-496","update-policy":"https:\/\/doi.org\/10.1016\/elsevier_cm_policy","source":"Crossref","is-referenced-by-count":7,"title":["How to manage lower gastrointestinal bleeding in 2022?"],"prefix":"10.1016","volume":"159","author":[{"given":"M.","family":"Boullier","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Fohlen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Viennot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"A.","family":"Alves","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"78","reference":[{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0245","doi-asserted-by":"crossref","first-page":"1054","DOI":"10.1056\/NEJMcp1603455","article-title":"Acute lower gastrointestinal bleeding","volume":"376","author":"Gralnek","year":"2017","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0250","doi-asserted-by":"crossref","DOI":"10.1016\/j.cgh.2014.06.023","article-title":"Recurrence and mortality among patients hospitalized for acute lower gastrointestinal bleeding","volume":"13","author":"Aoki","year":"2015","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0255","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.jviscsurg.2014.03.008","article-title":"The management of lower gastrointestinal bleeding","volume":"151","author":"Marion","year":"2014","journal-title":"J Visc Surg"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0260","doi-asserted-by":"crossref","first-page":"37","DOI":"10.1097\/MEG.0b013e32835948e3","article-title":"Lower gastrointestinal bleeding: incidence, etiology, and outcomes in a population-based setting","volume":"25","author":"Hreinsson","year":"2013","journal-title":"Eur J Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0265","doi-asserted-by":"crossref","first-page":"1330","DOI":"10.1177\/2050640619863517","article-title":"Acute lower gastrointestinal bleeding: a population-based five-year follow-up study","volume":"7","author":"Hreinsson","year":"2019","journal-title":"United Eur Gastroenterol J"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0270","doi-asserted-by":"crossref","DOI":"10.1055\/s-2008-1066902","article-title":"H\u00e9morragies digestives basses aigu\u00ebs\u00a0: r\u00e9sultats pr\u00e9liminaires d\u2019une \u00e9tude de l\u2019ANGH sur plus de 1000 malades","volume":"40","author":"Bour","year":"2008","journal-title":"Endoscopy"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0275","first-page":"654","article-title":"Acute lower GI bleeding in the UK: patient characteristics, interventions and outcomes in the first nationwide audit","volume":"67","author":"Oakland","year":"2018","journal-title":"Gut"},{"issue":"7","key":"10.1016\/j.jviscsurg.2022.08.005_bib0280","doi-asserted-by":"crossref","first-page":"e209630","DOI":"10.1001\/jamanetworkopen.2020.9630","article-title":"External validation of the oakland score to assess safe hospital discharge among adult patients with acute lower gastrointestinal bleeding in the US","volume":"3","author":"Oakland","year":"2020","journal-title":"JAMA Netw Open"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0285","doi-asserted-by":"crossref","first-page":"600","DOI":"10.1016\/j.surg.2009.06.055","article-title":"Acute lower gastrointestinal bleeding in 1,112 patients admitted to an urban emergency medical center","volume":"146","author":"Gayer","year":"2009","journal-title":"Surgery"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0290","doi-asserted-by":"crossref","first-page":"69","DOI":"10.3748\/wjg.v25.i1.69","article-title":"Initial management for acute lower gastrointestinal bleeding","volume":"25","author":"Aoki","year":"2019","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0295","doi-asserted-by":"crossref","first-page":"243","DOI":"10.1055\/s-0037-1607963","article-title":"Management of diverticular bleeding: evaluation, stabilization, intervention, and recurrence of bleeding and indications for resection after control of bleeding","volume":"31","author":"Mohammed Ilyas","year":"2018","journal-title":"Clin Colon Rectal Surg"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0300","doi-asserted-by":"crossref","first-page":"1004","DOI":"10.1016\/j.cgh.2008.03.021","article-title":"Risk factors for mortality in lower intestinal bleeding","volume":"6","author":"Strate","year":"2008","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0305","doi-asserted-by":"crossref","first-page":"1281","DOI":"10.1111\/j.1365-2036.2005.02485.x","article-title":"Review article: the management of lower gastrointestinal bleeding","volume":"21","author":"Farrell","year":"2005","journal-title":"Aliment Pharmacol Ther"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0310","doi-asserted-by":"crossref","DOI":"10.1016\/j.cgh.2016.05.042","article-title":"Development and validation of a risk scoring system for severe acute lower gastrointestinal bleeding","volume":"14","author":"Aoki","year":"2016","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0315","doi-asserted-by":"crossref","DOI":"10.1016\/j.amjmed.2016.12.009","article-title":"Derivation and internal validation of a clinical prediction tool for 30-day mortality in lower gastrointestinal bleeding","volume":"130","author":"Sengupta","year":"2017","journal-title":"Am J Med"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0320","doi-asserted-by":"crossref","first-page":"635","DOI":"10.1016\/S2468-1253(17)30150-4","article-title":"Derivation and validation of a novel risk score for safe discharge after acute lower gastrointestinal bleeding: a modelling study","volume":"2","author":"Oakland","year":"2017","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0325","doi-asserted-by":"crossref","first-page":"357","DOI":"10.1111\/codi.14529","article-title":"Acute lower gastrointestinal bleeding: are STRATE and BLEED scores valid in clinical practice?","volume":"21","author":"Xavier","year":"2019","journal-title":"Colorectal Dis"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0330","doi-asserted-by":"crossref","first-page":"707","DOI":"10.1136\/gutjnl-2019-320002","article-title":"ABC score: a new risk score that accurately predicts mortality in acute upper and lower gastrointestinal bleeding: an international multicentre study","volume":"70","author":"Laursen","year":"2021","journal-title":"Gut"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0335","doi-asserted-by":"crossref","first-page":"E959","DOI":"10.1055\/s-0043-117958","article-title":"Diagnostic and therapeutic treatment modalities for acute lower gastrointestinal bleeding: a systematic review","volume":"5","author":"Oakland","year":"2017","journal-title":"Endosc Int Open"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0340","doi-asserted-by":"crossref","first-page":"78","DOI":"10.1056\/NEJM200001133420202","article-title":"Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage","volume":"342","author":"Jensen","year":"2000","journal-title":"N Engl J Med"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0345","doi-asserted-by":"crossref","first-page":"416","DOI":"10.1016\/j.gie.2015.07.033","article-title":"Natural history of definitive diverticular hemorrhage based on stigmata of recent hemorrhage and colonoscopic Doppler blood flow monitoring for risk stratification and definitive hemostasis","volume":"83","author":"Jensen","year":"2016","journal-title":"Gastrointest Endosc"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0350","doi-asserted-by":"crossref","first-page":"774","DOI":"10.1111\/apt.15925","article-title":"Systematic review with meta-analysis: limited benefits from early colonoscopy in acute lower gastrointestinal bleeding","volume":"52","author":"Kherad","year":"2020","journal-title":"Aliment Pharmacol Ther"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0355","doi-asserted-by":"crossref","DOI":"10.1016\/j.cgh.2019.11.061","article-title":"Early colonoscopy does not improve outcomes of patients with lower gastrointestinal bleeding: systematic review of randomized trials","volume":"18","author":"Tsay","year":"2020","journal-title":"Clin Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0360","doi-asserted-by":"crossref","DOI":"10.1053\/j.gastro.2019.09.010","article-title":"Efficacy and safety of early vs. elective colonoscopy for acute lower gastrointestinal bleeding","volume":"158","author":"Niikura","year":"2020","journal-title":"Gastroenterology"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0365","first-page":"3S47","article-title":"[Question 5. Management of diverticulitis induced hemorrhage]","volume":"31","author":"Pilleul","year":"2007","journal-title":"Gastroenterol Clin Biol"},{"issue":"8","key":"10.1016\/j.jviscsurg.2022.08.005_bib0370","doi-asserted-by":"crossref","first-page":"850","DOI":"10.1055\/a-1496-8969","article-title":"Diagnosis and management of acute lower gastrointestinal bleeding: European Society of Gastrointestinal Endoscopy (ESGE) Guideline","volume":"53","author":"Triantafyllou","year":"2021","journal-title":"Endoscopy"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0375","doi-asserted-by":"crossref","first-page":"1185","DOI":"10.3748\/wjg.v18.i11.1185","article-title":"Pros and cons of colonoscopy in management of acute lower gastrointestinal bleeding","volume":"18","author":"Lhewa","year":"2012","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0380","doi-asserted-by":"crossref","first-page":"743","DOI":"10.1148\/radiol.2283020756","article-title":"Detection of active colonic hemorrhage with use of helical CT: findings in a swine model","volume":"228","author":"Kuhle","year":"2003","journal-title":"Radiology"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0385","doi-asserted-by":"crossref","first-page":"114","DOI":"10.1007\/s00330-002-1442-y","article-title":"Helical CT in acute lower gastrointestinal bleeding","volume":"13","author":"Ernst","year":"2003","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0390","doi-asserted-by":"crossref","first-page":"1181","DOI":"10.1007\/s00330-012-2721-x","article-title":"Accuracy of CT angiography in the diagnosis of acute gastrointestinal bleeding: systematic review and meta-analysis","volume":"23","author":"Garc\u00eda-Bl\u00e1zquez","year":"2013","journal-title":"Eur Radiol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0395","doi-asserted-by":"crossref","first-page":"4030","DOI":"10.3748\/wjg.v21.i13.4030","article-title":"Lower gastrointestinal bleeding: role of 64-row computed tomographic angiography in diagnosis and therapeutic planning","volume":"21","author":"Ren","year":"2015","journal-title":"World J Gastroenterol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0400","doi-asserted-by":"crossref","first-page":"755","DOI":"10.1148\/radiol.2018172910","article-title":"Contrast-enhanced CT for colonic diverticular bleeding before colonoscopy: a prospective multicenter study","volume":"288","author":"Umezawa","year":"2018","journal-title":"Radiology"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0405","doi-asserted-by":"crossref","first-page":"776","DOI":"10.1136\/gutjnl-2018-317807","article-title":"Diagnosis and management of acute lower gastrointestinal bleeding: guidelines from the British Society of Gastroenterology","volume":"68","author":"Oakland","year":"2019","journal-title":"Gut"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0410","doi-asserted-by":"crossref","first-page":"261","DOI":"10.1016\/S0221-0363(10)70037-8","article-title":"[Acute lower gastrointestinal bleeding: role of imaging]","volume":"91","author":"Kamaoui","year":"2010","journal-title":"J Radiol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0415","doi-asserted-by":"crossref","first-page":"218","DOI":"10.4329\/wjr.v6.i5.218","article-title":"Factors influencing the yield of mesenteric angiography in lower gastrointestinal bleed","volume":"6","author":"Rasuli","year":"2014","journal-title":"World J Radiol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0420","doi-asserted-by":"crossref","first-page":"57","DOI":"10.1007\/s00384-014-2055-z","article-title":"Does the timing of an invasive mesenteric angiography following a positive CT mesenteric angiography make a difference?","volume":"30","author":"Koh","year":"2015","journal-title":"Int J Colorectal Dis"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0425","doi-asserted-by":"crossref","first-page":"787","DOI":"10.1016\/S0741-5214(95)70070-6","article-title":"Complications of peripheral arteriography: a new system to identify patients at increased risk","volume":"22","author":"Egglin","year":"1995","journal-title":"J Vasc Surg"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0430","doi-asserted-by":"crossref","first-page":"459","DOI":"10.1111\/ans.12762","article-title":"Predictors for outcomes after super-selective mesenteric embolization for lower gastrointestinal tract bleeding","volume":"86","author":"Chan","year":"2016","journal-title":"ANZ J Surg"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0435","doi-asserted-by":"crossref","first-page":"23","DOI":"10.5152\/dir.2018.15427","article-title":"Acute lower gastrointestinal bleeding: predictive factors and clinical outcome for the patients who needed first-time mesenteric conventional angiography","volume":"24","author":"S\u0131ld\u0131ro\u011flu","year":"2018","journal-title":"Diagn Interv Radiol Ank Turk"},{"issue":"7\u20138","key":"10.1016\/j.jviscsurg.2022.08.005_bib0440","doi-asserted-by":"crossref","first-page":"479","DOI":"10.1016\/j.diii.2021.03.004","article-title":"Efficacy, safety and outcomes of transcatheter arterial embolization with N-butyl cyanoacrylate glue for non-variceal gastrointestinal bleeding: a systematic review and meta-analysis","volume":"102","author":"Chevallier","year":"2021","journal-title":"Diagn Interv Imaging"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0445","doi-asserted-by":"crossref","first-page":"92","DOI":"10.1007\/s00261-006-9007-1","article-title":"Role of percutaneous transhepatic obliteration for special types of varices with portal hypertension","volume":"32","author":"Chikamori","year":"2007","journal-title":"Abdom Imaging"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0450","doi-asserted-by":"crossref","first-page":"1162","DOI":"10.1007\/s00535-015-1069-9","article-title":"Role of urgent contrast-enhanced multidetector computed tomography for acute lower gastrointestinal bleeding in patients undergoing early colonoscopy","volume":"50","author":"Nagata","year":"2015","journal-title":"J Gastroenterol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0455","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13017-016-0112-3","article-title":"Lower gastrointestinal bleeding-computed tomographic angiography, colonoscopy or both?","volume":"12","author":"Clerc","year":"2017","journal-title":"World J Emerg Surg WJES"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0460","doi-asserted-by":"crossref","first-page":"2395","DOI":"10.1111\/j.1572-0241.2005.00306.x","article-title":"Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial","volume":"100","author":"Green","year":"2005","journal-title":"Am J Gastroenterol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0465","doi-asserted-by":"crossref","first-page":"865","DOI":"10.1111\/j.1742-1241.2007.01632.x","article-title":"Emergency subtotal colectomy for lower gastrointestinal haemorrhage: over-utilised or under-estimated?","volume":"63","author":"Plummer","year":"2009","journal-title":"Int J Clin Pract"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0470","doi-asserted-by":"crossref","first-page":"165","DOI":"10.1001\/jamasurg.2019.4467","article-title":"Factors associated with mortality after emergency colectomy for acute lower gastrointestinal bleeding","volume":"155","author":"Sue-Chue-Lam","year":"2020","journal-title":"JAMA Surg"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0475","doi-asserted-by":"crossref","first-page":"354","DOI":"10.1016\/S2468-1253(17)30054-7","article-title":"Restrictive versus liberal blood transfusion for gastrointestinal bleeding: a systematic review and meta-analysis of randomised controlled trials","volume":"2","author":"Odutayo","year":"2017","journal-title":"Lancet Gastroenterol Hepatol"},{"key":"10.1016\/j.jviscsurg.2022.08.005_bib0480","doi-asserted-by":"crossref","first-page":"819","DOI":"10.1160\/TH15-01-0063","article-title":"Thromboembolic events, recurrent bleeding and mortality after resuming anticoagulant following gastrointestinal bleeding. A meta-analysis","volume":"114","author":"Chai-Adisaksopha","year":"2015","journal-title":"Thromb Haemost"}],"container-title":["Journal of Visceral Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878788622001229?httpAccept=text\/xml","content-type":"text\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.elsevier.com\/content\/article\/PII:S1878788622001229?httpAccept=text\/plain","content-type":"text\/plain","content-version":"vor","intended-application":"text-mining"}],"deposited":{"date-parts":[[2025,10,30]],"date-time":"2025-10-30T07:33:00Z","timestamp":1761809580000},"score":1,"resource":{"primary":{"URL":"https:\/\/linkinghub.elsevier.com\/retrieve\/pii\/S1878788622001229"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,12]]},"references-count":48,"journal-issue":{"issue":"6","published-print":{"date-parts":[[2022,12]]}},"alternative-id":["S1878788622001229"],"URL":"https:\/\/doi.org\/10.1016\/j.jviscsurg.2022.08.005","relation":{},"ISSN":["1878-7886"],"issn-type":[{"value":"1878-7886","type":"print"}],"subject":[],"published":{"date-parts":[[2022,12]]},"assertion":[{"value":"Elsevier","name":"publisher","label":"This article is maintained by"},{"value":"How to manage lower gastrointestinal bleeding in 2022?","name":"articletitle","label":"Article Title"},{"value":"Journal of Visceral Surgery","name":"journaltitle","label":"Journal Title"},{"value":"https:\/\/doi.org\/10.1016\/j.jviscsurg.2022.08.005","name":"articlelink","label":"CrossRef DOI link to publisher maintained version"},{"value":"article","name":"content_type","label":"Content Type"},{"value":"\u00a9 2022 Published by Elsevier Masson SAS.","name":"copyright","label":"Copyright"}]}}