64-section multiphase CT enterography as a diagnostic tool in the evaluation of obscure gastrointestinal bleeding

Sodhi, Jaswinder Singh; Zargar, Showkat Ali; Rashid, Wasim; Shaheen, Feroze; Singh, Manjeet; Javid, Gul; Ali, Sadaf; Khan, Bashir Ahmad; Yattoo, Ghulam Nabi; Shah, Altaf; Gulzar, Ghulam Mohammad; Khan, Mushtaq Ahmed; Ahmad, Zeeshan

doi:10.1007/s12664-012-0176-2

Cited by 16 publications

(18 citation statements)

References 29 publications

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“…However, the specificity was higher at 71.6%, also similar to previous studies [14,20,21] . The vascular lesions seen in nearly half the patients with positive MPCTE and negative DBE were likely deep in the bowel wall and hence not seen endoscopically.…”

Section: Discussionsupporting

confidence: 91%

144 Assessment of Multi-Modality Evaluations of Obscure Gastrointestinal Bleeding

Law¹,

Hansel²,

Fidler³

et al. 2014

Gastroenterology

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Section: Discussionsupporting

confidence: 91%

144 Assessment of Multi-Modality Evaluations of Obscure Gastrointestinal Bleeding

Law¹,

Hansel²,

Fidler³

et al. 2014

Gastroenterology

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“…20,21 These agents may lead to complications such as disordered electrolyte, nausea, vomiting, diarrhoea, stomach ache and uroschesis. 22,23 In our study, patients were given a laxative regime of magnesium sulphate to clean the intestinal tract, isotonic mannitol to fulfil the bowel filling and avoid disordered electrolyte, anisodamine to prevent peristalsis, and intravenous contrast agent (iopromide, 370 mg I ml 21 ) for contrast-enhanced scanning.…”

Section: Discussionmentioning

confidence: 99%

Obscure gastrointestinal bleeding: diagnostic performance of 64-section multiphase CT enterography and CT angiography compared with capsule endoscopy

He¹,

Gong²,

Hu³

et al. 2014

BJR

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“…In a meta-analysis of 18 studies, CTE had a pooled yield of 40% compared to 53% for capsule endoscopy [48]. Other studies have shown similar yields for CTE [22,[55][56][57].…”

Section: Diagnostic Techniquesmentioning

confidence: 96%

Gastrointestinal hemorrhage: evaluation with MDCT

2015

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Gastrointestinal (GI) bleeding is a common medical problem, with high associated morbidity and mortality. The clinical presentation of gastrointestinal hemorrhage varies with the location of the bleeding source, the intensity of the bleed, and the presence of comorbidities that affect the ability to tolerate blood loss. Conventional endoscopic examinations are usually the initial diagnostic tests in patients presenting with overt gastrointestinal hemorrhage. However, implementation of upper tract endoscopy and colonoscopy in the emergency setting can be challenging due to inconsistent availability of the service and difficulties in achieving adequate colonic cleansing in emergent situations. Thus, imaging tests are often relied upon to establish the location and the cause of bleeding, either for initial diagnosis or after non-revealing upper and lower tract endoscopies ("obscure" bleeding). This article discusses the imaging evaluation of patients with gastrointestinal bleeding and reviews the imaging appearance of the most common causes, taking into account the two most relevant clinical presentations: overt bleeding and obscure bleeding.

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64-section multiphase CT enterography as a diagnostic tool in the evaluation of obscure gastrointestinal bleeding

Abstract: 64-slice multiphase CT-EG is a useful investigation in the evaluation of both occult and overt OGIB.

Cited by 16 publications

References 29 publications

144 Assessment of Multi-Modality Evaluations of Obscure Gastrointestinal Bleeding

144 Assessment of Multi-Modality Evaluations of Obscure Gastrointestinal Bleeding

Obscure gastrointestinal bleeding: diagnostic performance of 64-section multiphase CT enterography and CT angiography compared with capsule endoscopy

Gastrointestinal hemorrhage: evaluation with MDCT

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