Acute Care Surgery

Lower GI Bleed An Algorithm for Non-surgical and Surgical Management

Activity Details
  • Credit Type: CME
  • Credit Amount: 1.00
  • Cost: Free
  • Release: Oct 17, 2018
  • Expires: Oct 16, 2021
  • Estimated Time to Complete:
    1 Hour(s)
  • Average User Rating:
    ( Ratings)


April  E.  Mendoza April E. Mendoza, MD
Instructor in Surgery
Division of Trauma, Emergency Surgery and Surgical Critical Care
Harvard Medical School
Boston, Massachusetts

Needs Statement

Lower gastrointestinal bleeding affects over 200,000 people each year, and even more are thought to be unaccounted for since many patients do not seek care. It is a frequent cause of hospital admissions and is a source of significant morbidity especially in patients with chronic health problems and the elderly. Management options and treatment algorithms may differ by institution, but preoperative localization of the hemodynamically significant lesion is ideal for successful outcomes. 

Target Audience

Healthcare professionals of acute care, trauma and general surgeons and other providers who help manage inpatient surgical patients. 


After completion of this activity, participants will be able to:

  • Discuss the most common causes of lower gastrointestinal bleed (LGIB)
  • Describe the various diagnostic modalitites and understand the appropriate indications
  • Describe the surgical options for the treatement of refractory occult LGIB


This activity has been planned and implemented in accordance with the accreditation requirements and policies of the Accreditation Council for Continuing Medical Education (ACCME) through the joint providership of the University of Kentucky College of Medicine, and Eastern Association for the Surgery of Trauma. The University of Kentucky College of Medicine is accredited by the ACCME to provide continuing medical education for physicians.

The University of Kentucky College of Medicine designates this enduring material for a maximum of 1.00 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The University of Kentucky College of Medicine presents this activity for educational purposes only. Participants are expected to utilize their own expertise and judgment while engaged in the practice of medicine. The content of the presentations is provided solely by presenters who have been selected for presentations because of recognized expertise in their field.

ACGME Competencies

  • Patient care
  • Medical knowledge
  • Practice-based learning and improvement
  • Interpersonal and communication skills
  • Professionalism
  • Systems-based practice

Faculty Disclosure

No speaker, planners or content reviewers have any relevant financial relationships to disclose.

The material presented in this course represents information obtained from the scientific literature as well as the clinical experiences of the speakers. In some cases, the presentations might include discussion of investigational agents and/or off-label indications for various agents used in clinical practice. Speakers will inform the audience when they are discussing investigational and/or off-label uses.

Content review confirmed that the content was developed in a fair, balanced manner free from commercial bias. Disclosure of a relationship is not intended to suggest or condone commercial bias in any presentation, but it is made to provide participants with information that might be of potential importance to their evaluation of a presentation.


This activity is jointly provided by the University of Kentucky and Eastern Association for the Surgery of Trauma.