In the workup of patients with obscure gastrointestinal bleed, does 64-slice MDCT have a role?

Indian Journal of Radiology and Imaging

Volumn 22, Issue 1, 2012, Pages 47-53

  Kulkarni, Chinmay ^a   Moorthy, Srikanth ^a   Sreekumar, K P ^a   Rajeshkannan, R ^a   Nazar, P K ^a   Sandya, C J ^a   Sivasubramanian, S ^a   Ramchandran, P V ^a  

^a AMRITA INSTITUTE OF MEDICAL SCIENCES   (India)

Author keywords

Arteriography digital subtraction; capsule ndoscopy; diagnosis; gastrointestinal hemorrhage; spiral cone beam computed tomography

Indexed keywords

ADOLESCENT; ADULT; AGED; ANEMIA; ARTICLE; CAPSULE ENDOSCOPY; CHILD; CLINICAL ARTICLE; COLONOSCOPY; COMPUTER ASSISTED TOMOGRAPHY; DIGITAL SUBTRACTION ANGIOGRAPHY; FEMALE; GASTROINTESTINAL ENDOSCOPY; GASTROINTESTINAL HEMORRHAGE; HUMAN; MALE; MULTIDETECTOR COMPUTED TOMOGRAPHY; PRESCHOOL CHILD; SCHOOL CHILD; SCINTIGRAPHY;

EID: 84860425516     PISSN: 09713026     EISSN: 19983808     Source Type: Journal    
DOI: 10.4103/0971-3026.95404     Document Type: Article

References (28)

1. Lewis BS. Small intestinal bleeding. Gastrointest Endosc Clin N Am 1994;23:67-91.
2. AGA. American gastroenterological association medical position statement: Evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology 2000;118:197.
3. Concha R, Amaro R, Barkin JS. Obscure gastrointestinal bleeding: Diagnostic and therapeutic approach. J Clin Gastroenterol 2007;41:242-51. (Pubitemid 46340744)
4. Willmann JK, Roos JE, Platz A, Pfammater T, Hilfiker PR, Marincek B, et al. Multidetector CT: Detection of active hemorrhage in patients with blunt abdominal trauma. AJR Am J Roentgenol 2002;179:437-44. (Pubitemid 34785649)
5. Yoon W, Jeong YY, Shin SS, Lim HS, Song SG, Jang NG, et al. Acute massive gastrointestinal bleeding: Detection and localization with arterial phase multi-detector row helical CT. Radiology 2006;239:160-7.
6. Potter GD, Sellin JH. Lower gastrointestinal bleeding. Gastroenterol Clin North Am 1988;17:341-55.
7. Rollins ES, Picus D, Hicks ME, Darcy MD, Bower BL, Kleinoffer MA. Angiography is useful in detection of source of chronic gastrointestinal bleeding of obscure origin. AJR Am J Roentgenol 1991;156:385-8.
8. Duchesne J, Jacome T, Serou M, Tighe D, Gonzales A, Hunt JP, et al. CT angiography for the detection of a lower gastrointestinal bleeding source. Am Surg 2005;71:392-7. (Pubitemid 43073457)
9. Grassi R, di Mizio R, Romano S, Cappabianca S, del Vecchio W, Severini S. Multiple jejunal angiodysplasia detected by enemahelical CT. Clin Imaging 2000;24:61-3.
10. Junquera F, Quiroga S, Saperas E, Perez-Lafuente M, Videla S, Alvarez-castells A, et al. Accuracy of helical computed tomographic angiography for diagnosis of colonic angiodysplasia. Gastroenterology 2000;119:293-9. (Pubitemid 30621978)
11. Tew K, Davies RP, Jadun CK, Kew J. MDCT of acute lower gastrointestinal bleeding. AJR am J Roentgenol 2004;182:427-30. (Pubitemid 38116587)
12. Miller FH, Hwang CM. An initial experience: Using helical Ct imaging to detect obscure gastrointestinal bleeding. Clin Imaging 2004;28:245-51. (Pubitemid 38916576)
13. Dicle O, Goktay AY. Helical CT angiography in gastrointestinal bleeding. AJR am J Roentgenol 1997;169:1749.
14. Mindelzun RE, Beaulieu CF. Using biphasic CT to reveal gastrointestinal arteriovenous malformations. AJR am J Roentgenol 1997;168:437-8. (Pubitemid 27051981)
15. Yamaguchi T, Yoshikawa K. Enhanced CT for initial localization of active lower gastrointestinal bleeding. Abdom Imaging 2003;28:634-6. (Pubitemid 37040163)
16. Yoshikawa K, Yamaguti T, Nakamura M, Hirayabasi K, Hazano K, Udita M, et al. The role of dual-phase enhanced helical computed tomography in difficult intestinal bleeding. J Clin Gastroenterol 2000;31:83-4. (Pubitemid 30430256)
17. Boley SJ, Sprayregen S, Sammartano RJ, Adams A, Kleinhaus S. The pathophysiologic basis for the angiographic signs of vascular ectasias of the colon. Radiology 1997;125:615-21.
18. Huprich JE, Fletcher JG, Alexander JA, Fidler JA, Burton SS, McCullough CH. Obscure gastrointestinal bleeding: Evaluation with 64-slice multiphase CT enterography-initial experience. Radiology 2008;246:56-71.
19. Jaeckle T, Stuber G, Hoffmann MH, Freund W, Schmitz BL, Aschoff AJ. Acute gastrointestinal bleeding: Value of MDCT. Abdom Imaging 2007;33:285-93.
20. Saperas E, Dot J, Videla S, Alvarez-Castells A, Perez-Lafuente M, Armengol JR, et al. Capsule endoscopy versus computed tomographic or standard angiography for the diagnosis of obscure gastrointestinal bleeding. Am J Gastroenterol 2007;102:731-7. (Pubitemid 46496610)
21. Howarth DM, Tang K, Lees W. The clinical utility of nuclear medicine imaging for the detection of occult gastrointestinal hemorrhage. Nucl Med (Stuttg) 2002;23:591.
22. McKusick KA, Froelich J, Callahan RJ, Winzelberg GG, Strauss HW. 99mTc red blood cells for detection of gastrointestinal bleeding: Experience with 80 patients. AJR Am J Roentgenol 1981;137:1113-8. (Pubitemid 12235707)
23. Ohri SK, Desa LA, Lee H, Patel T, Jackson J, Lavender JP, et al. Value of scintigraphic localization of obscure gastrointestinal bleeding. J R Coll Surg Edinb 1992;37:328.
24. Szasz IJ, Morrison RT, Lyster DM. Technetium-99m-labelled red blood cell scanning to diagnose occult gastrointestinal bleeding. Can J Surg 1985;28:512.
25. Voeller GR, Bungh G, Britt LG. Use of technetium-99m-labelled red blood cell 99mTc-RBC scintigraphy in the detection and management of gastrointestinal hemorrhage. Surgery 1991;110:799.
26. Lau WY, Fan ST, Wong SH, Wong KP, Poon GP, Chu KW, et al. Preoperative and intraoperative localization of gastrointestinal bleeding of obscure origin. Gut 1987;28:869.
27. Lau WY, Ngan H, Chu KW, Yuen WK. Repeat selective visceral angiography in patients with gastrointestinal bleeding of obscure origin. Br J Surg 1989;76:226.
28. Kuhle WG, Sheiman RG. Detection of active colonic hemorrhage with use of helical CT: Findings in a swine model. Radiology 2003;228:743-52. (Pubitemid 37025485)