Gastroenterology and Hepatology from Bed to Bench

Vol. 10 No. 1 (2017)

What is the best algorithm for acute lower gastrointestinal haemorrhage investigation?

Gastroenterology and Hepatology from Bed to Bench, Vol. 10 No. 1 (2017), 11 February 2017 , Page 66-69
https://doi.org/10.22037/ghfbb.v0i0.1000

Abstract

It is not clear in guidelines whether it would be is necessary to organise a CT angiogram (CTA) prior to these procedures in patients with an acute lower GI bleed. While there are studies which recommend the use of a CTA, there are other studies against using CTA in these circumstances. Here we present a case of a patient with an acute lower GI bleed who became haemodynamically unstable. We show in this case study, the catheter angiogram not being able to identify the site of bleeding without the aid of the CTA prior.

Keywords:
  • (GI) bleed
  • colonoscopy
  • CT angiogram
  • catheter angiography

How to Cite

Santhirasekaram, A., Latif, S., Arooj, E., Rostami, K., & Ishaq, S. (2017). What is the best algorithm for acute lower gastrointestinal haemorrhage investigation?. Gastroenterology and Hepatology from Bed to Bench, 10(1), 66–69. https://doi.org/10.22037/ghfbb.v0i0.1000

References

American Gastroenterological Association (AGA) Institute Technical Review on Obscure Gastrointestinal Bleeding. Gastroenterology 2007;133:1697-1717

Bounds BC, Friedman LS. Lower gastrointestinal bleeding. Gastroenterol Clin North Am 2003;32:1107-2

Reinus, JF, Brandt, LJ. Vascular ectasias and diverticulosis. Common causes of lower intestinal bleeding. Gastroenterol Clin North Am 1994; 23:1.

Strate, LL. Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am 2005; 34:643.

Bong Sik Matthew Kim, Bob T Li, Alexander Engel, et al. Diagnosis of gastrointestinal bleeding: A practical guide for clinicians. World J Gastrointest Pathophysiol. 2014 Nov 15; 5(4): 467–478

Jensen DM, Machicado GA. Diagnosis and treatment of severe hematochezia. The role of urgent colonoscopy after purge. Gastroenterology 1988;95:1569

McArdle K, Leung E, Latif S, Bohra A, Ishaq S.Management of lower gastrointestinal bleeding: endoscopist or radiologist? Gut. 2010 Dec;59(12):1605, 1679

Höchter, W, Weingart, J, Kühner, W, et al. Angiodysplasia in the colon and rectum. Endoscopic morphology, localisation and frequency. Endoscopy 1985; 17:182.

Strate LL, Syngal S. Timing of colonoscopy: impact on length of hospital stay in patients with acute lower intestinal bleeding. Am J Gastroenterol 2003;98(2):317-22.

Scheffel, H, Pfammatter, T, Wildi, S, et al. Acute gastrointestinal bleeding: detection of source and etiology with multi-detector-row CT. Eur Radiol 2007; 17:1555.

Zuckerman, DA, Bocchini, TP, Birnbaum, EH. Massive hemorrhage in the lower gastrointestinal tract in adults: diagnostic imaging and intervention. AJR Am J Roentgenol 1993; 161:703.

Nicholson, ML, Neoptolemos, JP, Sharp, JF, et al. Localization of lower gastrointestinal bleeding using in vivo technetium-99m-labelled red blood cell scintigraphy. Br J Surg 1989; 76:358.

Browder, W, Cerise, EJ, Litwin, MS. Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg 1986; 204:530.

Saab. S, Jutabha. R. Approach to the adult patient with lower gastrointestinal bleeding. http://www.uptodate.com/contents/approach-to-the-adult-patient-with-lower-gastrointestinal-bleeding

  • Abstract Viewed: 519 times
  • PDF Downloaded: 131 times

Download Statastics

Developed By

Open Journal Systems