Surgery for Obscure Lower Gastrointestinal Bleeding in India

Overview
The OGIB or obscure gastrointestinal bleeding is among the most common clinical issues evident in gastroenterology. This issue is generally linked with significant mortality and morbidity. Of late, thanks to the medical development and technological advancements, the diagnosis and treatment of the obscure lower gastrointestinal bleeding has simply evolved drastically since past decade owing to the advent of modern Gastroenterological and Radiological technology exposure. There are several ways to manage the bleeding; however, when it is not managed with the non surgical methods, the only option that remains is the surgery.
What is Obscure Lower Gastrointestinal Bleeding?
Obscure lower gastrointestinal bleeding, as the name suggests, is defined out to be a recurrent or persistent bleeding from the lower area of gastrointestinal tract due to the negative evaluations with lower endoscopies. This represents around 5 percent of a number of GI bleeds. Obscure GI bleeding can also occur due to the deficiency of iron and anaemia or due to the positive FOBT or faecal occult blood test.

Symptoms of Obscure Lower Gastrointestinal Bleeding
The clinical presentation of these bleeding often varies with the sources of anatomy of these bleedings, which goes as under:
• You get maroon stools getting from the lower right side of your colon
• Experience a red blood per rectum along with the bleeding coming from colon’s left side
• Cecal bleeding along with issue like Melena

However, practically speaking, the upper GI bleeding and the colonic bleeding coming from the right side could be even be present along with the right red blood via the rectum along with the massive and brisk kind of bleeding. It also depends as per the variation over the etiology. Also, the young patients with this bleeding issue will encounter symptoms like fever, abdominal cramps, hematochezia and dehydration. However, the older patients can experience painless bleeding experience along with several minimal symptoms. The bleeding can be varying along with issues like abdominal pain and ischemic colitis.

Diagnosis of Obscure Lower Gastrointestinal Bleeding
The non surgical modalities, which are employed for the diagnosis of obscure lower gastrointestinal bleeding include colonoscopy, angiography and radionuclide scans. However, in rare conditions, tests like intraoperative push enteroscopy and exploratory laparotomy can be employed for unstable patients.

Surgery for Obscure Lower Gastrointestinal Bleeding
The most preferred Surgery for Obscure Lower Gastrointestinal Bleeding adopted is simple diverticulectomy. In this procedure, the diverticulum is usually excised along with closing the bowel in a longitudinally or transversely direction just to enable the minimal luminal stenosis. This procedure demands a couple of modifications for the cases carrying diverticulum, which is clubbed deep down to the pancreas head or linked with ampulla of vater in a perforated fashion at the said location. However, the patients with the issue of duct obstruction will be a technical challenge for the surgeon for the said surgery hence such patients are seen getting benefitted the best via the procedure called choledochoduodenostomy.

Surgery for Obscure Lower Gastrointestinal Bleeding in India
India is one of the important destinations for a number of medical treatments for global patients flocking from different regions and nations. Surgery for Obscure Lower Gastrointestinal Bleeding in India is carried out with one of the best and skilled surgeons who have ample amount of experience and exposure in this field. The hospitals and healthcare infrastructure found in India are par with the high end hospitals of developed nations like the US or UK. These are equipped with the modern and advanced medical instruments and equipments that make complex procedures like Surgery for Obscure Lower Gastrointestinal Bleeding in India simple and result oriented. And above, the cost of Surgery for Obscure Lower Gastrointestinal Bleeding in India is incredibly affordable for the global patients as compared to the developed nation’s treatment options.