This CME activity consists of the ASGE video, Anorectal Bleeding, followed by a post-assessment and evaluation.

Lower gastrointestinal (GI) bleeding is traditionally defined as bleeding originating from a lesion anatomically located distal to the ligament of Treitz. Clinically, it encompasses hematochezia from a small bowel or colon etiology, as well as anal “outlet” bleeding from an anorectal source. There is a paucity of literature focusing on anorectal bleeding. While a spectrum of anorectal causes for bleeding exist, patients and physicians often tend to believe that this area is restricted to the evaluation and management of hemorrhoids. This review will focus on the etiology, evaluation and management of anorectal bleeding.

See a preview of this video content here.

Practicing gastrointestinal endoscopists, gastroenterologists, gastroenterology fellows and trainees, medical residents, physician assistants and nurses.

Upon completion of this educational activity, participants will be able to:

• Manage common anal fissures. 
• Recognize and manage diversion colitis.
• Manage radiation proctopathy.

Video Release Date:    May 1, 2013
Online CME Release Date:  September 1, 2013
Most Recent CME Review Date:  January 23, 2016
CME Expiration Date:  January 23, 2019

Expected Time of Activity Completion:  75 Minutes (1.25 CME Credit)

Windows Requirements: Operating system: Windows 7+
Browser: Internet Explorer 8+, Firefox 10+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

Macintosh Requirements:
Operating system: Mac OS X 10.6.8+
Browser: Mozilla Firefox 10+, Safari 5+, Google Chrome 10+
Internet connection: DSL, cable modem, or other high-speed connection
Flash: Adobe® Flash® Player 12+

This CME activity consists of an ASGE video, followed by a post-assessment.  All materials required to complete the activity, including the video, are contained within the activity.

To complete this activity,
1. View the video.
2. Complete the Post –assessment by selecting the single best answer for each multiple choice question. You will be able to change your answer at any time until you click on the finish button.
3. Complete the Evaluation.

You may complete the activity in one sitting, or you may save your work in progress and complete it at a later date. However, to earn CME credits, you must complete the activity prior to the CME expiration date. 

In order to claim credit, you must complete the Post-assessment and Evaluation. Completed CME will be tracked in your account and you can print a record of this CME activity at any time. 

For technical difficulties, please contact ASGE between the hours of 8:30am and 5pm Central Time at 1-866-353-ASGE (2743). For questions related to content or CME credits, please email education@asge.org.