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1/2017
vol. 82 abstract:
Original paper
Correlation Between Findings of Multislice Helical Computed Tomography (CT), Endoscopic Examinations, Endovascular Procedures, and Surgery in Patients with Symptoms of Acute Gastrointestinal Bleeding
Dariusz Konecki
,
Laretta Grabowska-Derlatka
,
Ryszard Pacho
,
Olgierd Rowiński
Pol J Radiol, 2017; 82: 676-684
Online publish date: 2018/01/18
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Background: Endoscopic methods (gastroscopy and colonoscopy) are considered fundamental for the diagnosis of gastrointestinal bleeding. In recent years, multidetector computed tomography (MDCT) has also gained importance in diagnosing gastrointestinal bleeding, particularly in hemodynamically unstable patients and in cases with suspected lower gastrointestinal tract bleeding. CT can detect both the source and the cause of active gastrointestinal bleeding, thereby expediting treatment initiation.
Material/Methods: The study group consisted of 16 patients with clinical symptoms of gastrointestinal bleeding in whom features of active bleeding were observed on CT. In all patients, bleeding was verified by means of other methods such as endoscopic examinations, endovascular procedures, or surgery. Results: The bleeding source was identified on CT in all 16 patients. In 14 cases (87.5%), bleeding was confirmed by other methods. Conclusions: CT is an efficient, fast, and readily available tool for detecting the location of acute gastrointestinal bleeding. keywords:
Endoscopes, Gastrointestinal • Endovascular Procedures • Gastrointestinal Hemorrhage • Multidetector Computed Tomography |