In this small trial of patients presenting with hemodynamically significant hematochezia and negative upper endoscopy, they were randomized to urgent colonoscopy (with 12 hours) or elective colonoscopy (within 60 hours). There were no significant differences between the groups in further bleeding, transfusion need, length of stay, or hospital cost. For now, there is no evidence that colonoscopy needs to be urgently performed in patients with hematochezia and negative upper endoscopy (abstract)
Dr. Scheurer is a clinical hospitalist and the Medical Director of Quality and Safety at the Medical University of South Carolina in Charleston, South Carolina, and is Assistant Professor of Medicine. She is a graduate of the University of Tennessee College of Medicine, completed her residency at Duke University, and completed her Masters in Clinical Research at the Medical University of South Carolina. She also serves as the Web Editor and Physician Advisor for the Society of Hospital Medicine.