Acute lower intestinal bleeding: Feasibility and diagnostic performance of CT angiography

Radiology

Volumn 262, Issue 1, 2012, Pages 109-116

  Martí, Milagros ^a   Artigas, José M ^b   Garzón, Gonzalo ^a   Álvarez Sala, Rodolfo ^d   Soto, Jorge A ^c  

^a HOSPITAL UNIVERSITARIO LA PAZ   (Spain)

^b HOSPITAL UNIVERSITARIO MIGUEL SERVET   (Spain)

^c BOSTON MEDICAL CENTER   (United States)

^d UNIVERSIDAD AUTÓNOMA DE MADRID   (Spain)

Author keywords

[No Author keywords available]

Indexed keywords

ABDOMINAL ANGIOGRAPHY; AGED; ANGIODYSPLASIA; ARTICLE; CLINICAL ARTICLE; COLITIS; COLON OBSTRUCTION; COLON POLYP; COLONOSCOPY; COMPUTED TOMOGRAPHIC ANGIOGRAPHY; CONTROLLED CLINICAL TRIAL; CONTROLLED STUDY; DATA ANALYSIS; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; DUODENAL ULCER BLEEDING; EMERGENCY WARD; EXTRAVASATION; FEASIBILITY STUDY; FEMALE; HEMORRHOID; HUMAN; INTERMETHOD COMPARISON; INTESTINAL BLEEDING; INTESTINE DIVERTICULOSIS; INTESTINE ISCHEMIA; MALE; PATIENT REFERRAL; PREDICTIVE VALUE; PRIORITY JOURNAL; PROCTITIS; PROSPECTIVE STUDY; RECTUM ULCER; SENSITIVITY AND SPECIFICITY; VASCULITIS;

ACUTE DISEASE; AGED; ANGIOGRAPHY; COLONOSCOPY; CONTRAST MEDIA; EXTRAVASATION OF DIAGNOSTIC AND THERAPEUTIC MATERIALS; FEMALE; GASTROINTESTINAL HEMORRHAGE; HUMANS; LOWER GASTROINTESTINAL TRACT; MALE; PREDICTIVE VALUE OF TESTS; PROSPECTIVE STUDIES; RADIOGRAPHIC IMAGE INTERPRETATION, COMPUTER-ASSISTED; SENSITIVITY AND SPECIFICITY; TOMOGRAPHY, X-RAY COMPUTED; TRIIODOBENZOIC ACIDS;

EID: 84455206593     PISSN: 00338419     EISSN: 15271315     Source Type: Journal    
DOI: 10.1148/radiol.11110326     Document Type: Article

References (35)

1. Edelman DA, Sugawa C. Lower gastrointestinal bleeding: a review. Surg Endosc 2007;21(4):514-520. (Pubitemid 46439385)
2. Hoedema RE, Luchtefeld MA. The management of lower gastrointestinal hemorrhage. Dis Colon Rectum 2005;48(11):2010-2024. (Pubitemid 43035106)
3. Jensen DM. Management of patients with severe hematochezia - with all current evidence available. Am J Gastroenterol 2005;100(11):2403-2406.
4. Green BT, Rockey DC, Portwood G, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol 2005;100(11):2395-2402.
5. Zink SI, Ohki SK, Stein B, et al. Noninvasive evaluation of active lower gastrointestinal bleeding: comparison between contrast-enhanced MDCT and 99mTc-labeled RBC scintigraphy. AJR Am J Roentgenol 2008;191(4):1107-1114.
6. Carey EJ, Fleischer DE. Investigation of the small bowel in gastrointestinal bleeding: enteroscopy and capsule endoscopy. Gastroenterol Clin North Am 2005;34(4):719-734. (Pubitemid 41643128)
7. Millward SF. ACR Appropriateness Criteria on treatment of acute nonvariceal gastrointestinal tract bleeding. J Am Coll Radiol 2008;5(4):550-554. (Pubitemid 351417461)
8. Schuetz A, Jauch KW. Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results. Langenbecks Arch Surg 2001;386(1):17-25. (Pubitemid 32186963)
9. Tew K, Davies RP, Jadun CK, Kew J. MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 2004;182(2):427-430. (Pubitemid 38116587)
10. Scheffel H, Pfammatter T, Wildi S, Bauerfeind P, Marincek B, Alkadhi H. Acute gastrointestinal bleeding: detection of source and etiology with multi-detector-row CT. Eur Radiol 2007;17(6):1555-1565. (Pubitemid 46767604)
11. Amarteifio E, Sohns C, Heuser M, Püsken M, Lange B, Obenauer S. Detection of gastrointestinal bleeding by using multislice computed tomography: acute and chronic hemorrhages. Clin Imaging 2008;32(1):1-5. (Pubitemid 350299125)
12. Lee S, Welman CJ, Ramsay D. Investigation of acute lower gastrointestinal bleeding with 16- and 64-slice multidetector CT. J Med Imaging Radiat Oncol 2009;53(1):56-63.
13. Jaeckle T, Stuber G, Hoffmann MH, Jeltsch M, Schmitz BL, Aschoff AJ. Detection and localization of acute upper and lower gastrointestinal (GI) bleeding with arterial phase multi-detector row helical CT. Eur Radiol 2008;18(7):1406-1413.
14. Yoon W, Jeong YY, Kim JK. Acute gastrointestinal bleeding: contrast-enhanced MDCT. Abdom Imaging 2006;31(1):1-8. (Pubitemid 43081629)
15. Anthony S, Milburn S, Uberoi R. Multidetector CT: review of its use in acute GI haemorrhage. Clin Radiol 2007;62(10):938-949. (Pubitemid 47317130)
16. Jaeckle T, Stuber G, Hoffmann MH, Freund W, Schmitz BL, Aschoff AJ. Acute gastrointestinal bleeding: value of MDCT. Abdom Imaging 2008;33(3):285-293. (Pubitemid 351537886)
17. Stuber T, Hoffmann MH, Stuber G, Klass O, Feuerlein S, Aschoff AJ. Pitfalls in detection of acute gastrointestinal bleeding with multi-detector row helical CT. Abdom Imaging 2009;34(4):476-482.
18. Dobritz M, Engels HP, Schneider A, Bauer J, Rummeny EJ. Detection of intestinal bleeding with multi-detector row CT in an experimental setup: how many acquisitions are necessary? Eur Radiol 2009;19(12):2862-2869.
19. Kuhle WG, Sheiman RG. Detection of active colonic hemorrhage with use of helical CT: findings in a swine model. Radiology 2003;228(3):743-752. (Pubitemid 37025485)
20. Dobritz M, Engels HP, Schneider A, et al. Evaluation of dual-phase multi-detector-row CT for detection of intestinal bleeding using an experimental bowel model. Eur Radiol 2009;19(4):875-881.
21. Ernst O, Bulois P, Saint-Drenant S, Leroy C, Paris JC, Sergent G. Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 2003;13(1):114-117. (Pubitemid 36790499)
22. Ko HS, Tesdal K, Dominguez E, et al. Localization of bleeding using 4-row detector-CT in patients with clinical signs of acute gastrointestinal hemorrhage [in German]. Rofo 2005;177(12):1649-1654. (Pubitemid 41806576)
23. Duchesne J, Jacome T, Serou M, et al. CT-angiography for the detection of a lower gastrointestinal bleeding source. Am Surg 2005;71(5):392-397. (Pubitemid 43073457)
24. Yoon W, Jeong YY, Shin SS, et al. Acute massive gastrointestinal bleeding: detection and localization with arterial phase multidetector row helical CT. Radiology 2006;239(1):160-167.
25. Sabharwal R, Vladica P, Chou R, Law WP. Helical CT in the diagnosis of acute lower gastrointestinal haemorrhage. Eur J Radiol 2006;58(2):273-279.
26. Horton KM, Jeffrey RB Jr, Federle MP, Fishman EK. Acute gastrointestinal bleeding: the potential role of 64 MDCT and 3D imaging in the diagnosis. Emerg Radiol 2009;16(5):349-356.
27. Jensen DM, Machicado GA, Jutabha R, Kovacs TOG. Urgent colonoscopy for the diagnosis and treatment of severe diverticular hemorrhage. N Engl J Med 2000;342(2):78-82. (Pubitemid 30036598)
28. Laing CJ, Tobias T, Rosenblum DI, Banker WL, Tseng L, Tamarkin SW. Acute gastrointestinal bleeding: emerging role of multidetector CT angiography and review of current imaging techniques. RadioGraphics 2007;27(4):1055-1070.
29. Martí M, Pinilla I, Baudraxler F, Simón MJ, Garzón G. A case of acute abdominal aortic dissection caused by blunt trauma. Emerg Radiol 2006; 12(4):182-185. (Pubitemid 43825244)
30. Kang PS, Spain JW. Multidetector CT angiography of the abdomen. Radiol Clin North Am 2005;43(6):963-976, vii. (Pubitemid 41505380)
31. Wu LM, Xu JR, Yin Y, Qu XH. Usefulness of CT angiography in diagnosing acute gastrointestinal bleeding: a meta-analysis. World J Gastroenterol 2010;16(31):3957-3963.
32. Koc O, Ozbek O, Gumus S, Demir A. Endovascular management of massive gastrointestinal bleeding associated with polyarteritis nodosa. J Vasc Interv Radiol 2009;20(2):277-279.
33. Junquera F, Quiroga S, Saperas E, et al. Accuracy of helical computed topographic angiography for de diagnosis of colonic angiodysplasia. Gastroenterology 2000;119(2):293-299. (Pubitemid 30621978)
34. Kennedy DW, Laing CJ, Tseng LH, Rosenblum DI, Tamarkin SW. Detection of active gastrointestinal hemorrhage with CT angiography: a 4(1/2)-year retrospective review. J Vasc Interv Radiol 2010;21(6):848-855.
35. Stunell H, Buckley O, Lyburn ID, McGann G, Farrell M, Torreggiani WC. The role of computerized tomography in the evaluation of gastrointestinal bleeding following negative or failed endoscopy: a review of current status. J Postgrad Med 2008;54(2):126-134. (Pubitemid 351724196)