Abstract
Nowadays, computed tomography (CT) is established for diagnosing gastrointestinal
bleeding. In this retrospective study, the use of CT in diagnosing gastrointestinal
bleeding was evaluated. Fifty-three patients received a contrast-medium-enhanced helical
multislice CT (MSCT) to locate the bleeding site. Seventy-nine percent of the hemorrhage
were acute gastrointestinal bleedings. Fifty-five percent of the acute hemorrhages
were located via helical MSCT, 45% of the chronic bleeding sites were detected. Notably,
bleeding of diverticula, tumors, and angiodysplasias were well demonstrated. In conclusion,
contrast-medium-enhanced MSCT may be used effectively as a noninvasive diagnostic
tool for detecting gastrointestinal bleedings.
Keywords
To read this article in full you will need to make a payment
Purchase one-time access:
Academic & Personal: 24 hour online accessCorporate R&D Professionals: 24 hour online accessOne-time access price info
- For academic or personal research use, select 'Academic and Personal'
- For corporate R&D use, select 'Corporate R&D Professionals'
Subscribe:
Subscribe to Clinical ImagingAlready a print subscriber? Claim online access
Already an online subscriber? Sign in
Register: Create an account
Institutional Access: Sign in to ScienceDirect
References
- Nonsteroidal anti-inflammatory drugs and upper gastrointestinal bleeding, identifying high-risk groups by excess risk estimates.Scand J Gastroenterol. 1995; 30: 438-444
- The conundrum of lower gastrointestinal bleeding.Surg Clin North Am. 1997; 77: 241-252
- Localization of bleeding using 4-row detector-CT in patients with clinical signs of acute gastrointestinal hemorrhage.Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 2005; 177: 1649-1654
- Helical CT angiography in gastrointestinal bleeding of obscure origin.Am J Radiol. 1997; 168: 727-730
- Selective CT mesentericography in the diagnostics of obscure overt intestinal bleeding: preliminary results.Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 2002; 174: 444-451
- Detection of active colonic hemorrhage with use of helical CT: findings in a swine model.Radiology. 2003; 228: 743-752
- Successful use of transvenous angio-multidetector-CT in diagnosing cecal angiodysplasia as the cause of perianal hemorrhage.Rofo Fortschr Geb Rontgenstr Neuen Bildgeb Verfahr. 2003; 175: 855-862
- Computed tomography in the diagnosis of inflammatory bowel disease—methodology of MSCT and clinical results.Radiologe. 2003; 43: 17-25
- Multiple jejunal angiodysplasia detected by enema-helical CT.Clin Imaging. 2000; 24: 61-63
- Multidetector CT of high-risk patients with occult gastrointestinal stromal tumors.Am J Radiol. 2003; 180: 185-189
- Radiation exposure and projected risks with multidetector-row CT scanning. Clinical strategies and technologic developments for dose reduction.J Comput Assist Tomogr. 2004; 28: 46-49
Article info
Publication history
Published online: October 16, 2007
Accepted:
August 8,
2007
Received:
July 10,
2007
Identification
Copyright
© 2008 Elsevier Inc. Published by Elsevier Inc. All rights reserved.