{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,29]],"date-time":"2026-08-29T08:39:43Z","timestamp":1787992783717,"version":"build-2784847793"},"reference-count":24,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2013,10,22]],"date-time":"2013-10-22T00:00:00Z","timestamp":1382400000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J of Gastro and Hepatol"],"published-print":{"date-parts":[[2013,11]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background and Aims<\/jats:title><jats:p>Colonoscopy (<jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content>) is a valuable diagnostic tool in patients with hematochezia. However, the optimal preparation method of emergent <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> for hematochezia has not been defined. We investigated the clinical effectiveness of bowel preparation of patients with hematochezia using polyethylene glycol (<jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content>) solution and glycerin or water enemas.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>The medical records of the past 7 years were reviewed. Patients presenting with hematochezia that occurred within 24\u2009h before admission were eligible for the study. All patients underwent <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> within 24\u2009h after visiting the emergency room for hematochezia. Patients were classified into two groups according to the preparation method used (enema <jats:italic>vs<\/jats:italic>\u2005<jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content>).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Overall, 194 patients (125 enema <jats:italic>vs<\/jats:italic> 69 <jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content>) were enrolled. The diagnostic rate of bleeding focus was lower in the enema group than in the <jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content> group (84% <jats:italic>vs<\/jats:italic> 97.1%, <jats:italic>P<\/jats:italic>\u2009=\u20090.008). Performance of endoscopic hemostasis at the initial <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> was more frequent in the enema group than in the <jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content> group (40.8% <jats:italic>vs<\/jats:italic> 10.1%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). The rate of repeated <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> was higher in the enema group than in the <jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content> group (44.0% <jats:italic>vs<\/jats:italic> 18.8%, <jats:italic>P<\/jats:italic>\u2009&lt;\u20090.001). Post\u2010polypectomy bleeding (<jats:italic>n<\/jats:italic>\u2009=\u200933) was diagnosed during the initial study and was treated endoscopically. In cases of post\u2010polypectomy bleeding, <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> (93.9%) was performed after an enema in all but two cases.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>In hematochezia patients, the <jats:styled-content style=\"fixed-case\">PEG<\/jats:styled-content> group showed a higher diagnostic rate and lower rate of repeated <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content>. However, emergent <jats:styled-content style=\"fixed-case\">CFS<\/jats:styled-content> after an enema only seems to be useful in patients with severe hematochezia or if the bleeding focus can be presumed.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jgh.12264","type":"journal-article","created":{"date-parts":[[2013,5,10]],"date-time":"2013-05-10T15:46:37Z","timestamp":1368200797000},"page":"1733-1737","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Comparison of clinical effectiveness of the emergent colonoscopy in patients with hematochezia according to the type of bowel preparation"],"prefix":"10.1111","volume":"28","author":[{"given":"Dae Seop","family":"Lim","sequence":"first","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hyun Gun","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Seong Ran","family":"Jeon","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kwang Yeun","family":"Shim","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tae Hee","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jin\u2010Oh","family":"Kim","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bong Min","family":"Ko","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joo Young","family":"Cho","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joon Seong","family":"Lee","sequence":"additional","affiliation":[{"name":"Division of Gastroenterology and Hepatology Department of Internal Medicine Soonchunhyang University College of Medicine  Seoul Korea"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2013,10,22]]},"reference":[{"key":"e_1_2_5_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9610(05)81256-5"},{"key":"e_1_2_5_3_1","doi-asserted-by":"publisher","DOI":"10.1136\/gut.32.7.763"},{"key":"e_1_2_5_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(03)02304-6"},{"key":"e_1_2_5_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(05)80606-6"},{"key":"e_1_2_5_6_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5085(88)80079-9"},{"key":"e_1_2_5_7_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(05)80588-7"},{"key":"e_1_2_5_8_1","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM200001133420202"},{"key":"e_1_2_5_9_1","doi-asserted-by":"publisher","DOI":"10.1097\/00004836-198602000-00010"},{"key":"e_1_2_5_10_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2005.00306.x"},{"key":"e_1_2_5_11_1","first-page":"723","article-title":"Colonoscopy: the initial test for acute lower gastrointestinal bleeding","volume":"64","author":"Chaudhry V","year":"1998","journal-title":"Am. Surg."},{"key":"e_1_2_5_12_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2001.03871.x"},{"key":"e_1_2_5_13_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-1001387"},{"key":"e_1_2_5_14_1","doi-asserted-by":"publisher","DOI":"10.1159\/000007756"},{"key":"e_1_2_5_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9610(82)90175-1"},{"key":"e_1_2_5_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0016-5107(81)73225-5"},{"key":"e_1_2_5_17_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-7125(16)30211-5"},{"key":"e_1_2_5_18_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00134-005-2604-6"},{"key":"e_1_2_5_19_1","first-page":"2108","article-title":"Risk factors and the role of bedside colonoscopy for lower gastrointestinal hemorrhage in critically ill patients","volume":"55","author":"Kim BC","year":"2008","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_20_1","first-page":"1331","article-title":"Management of acute lower intestinal bleeding: what bowel preparation should be required for urgent colonoscopy?","volume":"56","author":"Saito K","year":"2009","journal-title":"Hepatogastroenterology"},{"key":"e_1_2_5_21_1","first-page":"419","article-title":"Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population\u2010based study","volume":"92","author":"Longstreth GF","year":"1997","journal-title":"Am. J. Gastroenterol."},{"key":"e_1_2_5_22_1","first-page":"911","article-title":"Clinical characteristics of lower gastrointestinal bleeding","volume":"19","author":"Chun JH","year":"1999","journal-title":"Korean J. Gastrointest. Endosc."},{"key":"e_1_2_5_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/j.1572-0241.2003.07232.x"},{"key":"e_1_2_5_24_1","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2010.25.2.140"},{"key":"e_1_2_5_25_1","doi-asserted-by":"publisher","DOI":"10.1007\/BF01658398"}],"container-title":["Journal of Gastroenterology and Hepatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgh.12264","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fjgh.12264","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jgh.12264","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,2]],"date-time":"2023-10-02T22:10:12Z","timestamp":1696284612000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jgh.12264"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2013,10,22]]},"references-count":24,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2013,11]]}},"alternative-id":["10.1111\/jgh.12264"],"URL":"https:\/\/doi.org\/10.1111\/jgh.12264","archive":["Portico"],"relation":{},"ISSN":["0815-9319","1440-1746"],"issn-type":[{"value":"0815-9319","type":"print"},{"value":"1440-1746","type":"electronic"}],"subject":[],"published":{"date-parts":[[2013,10,22]]},"assertion":[{"value":"2013-04-29","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2013-10-22","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}