Prospective Study Comparing Multi‐Detector Row CT and Endoscopy in Acute Gastrointestinal Bleeding

Frattaroli, Fabrizio Maria; Casciani, Emanuele; Spoletini, Domenico; Polettini, E; Nunziale, Aldo; Bertini, Luca; Vestri, Annarita; Gualdi, Gianfranco; Pappalardo, G

doi:10.1007/s00268-009-0156-6

Cited by 65 publications

(53 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…According to a meta-analysis, the diagnostic accuracy of CT angiography in acute GI bleeding was 85.2% sensitivity (95% CI 75.5-91.5) and 92.1% specificity (95% CI 76.7-97.7), showing excellent accuracy [65]. Also, in a cross-sectional study on performing CT angiography after colonoscopy, the accuracy of diagnosing the site of bleeding, and thus the lesion, was higher with CT angiography than with colonoscopy [59]. In colonoscopy, the accuracy of diagnosing the source of bleeding ranges from 52.9 to 91% [59,60,63,64].…”

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 89%

“…Also, in a cross-sectional study on performing CT angiography after colonoscopy, the accuracy of diagnosing the site of bleeding, and thus the lesion, was higher with CT angiography than with colonoscopy [59]. In colonoscopy, the accuracy of diagnosing the source of bleeding ranges from 52.9 to 91% [59,60,63,64]. However, unlike CT angiography and scintigraphy, colonoscopy enables treatment directly after diagnosis [58,60,[63][64][65].…”

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

“…These modalities have been compared in observational studies [59][60][61]64] but not in a randomized controlled study. Due to recent technological advances in medical devices, CT is becoming a popular diagnostic modality for acute LGIB.…”

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

“…Quality of evidence: C Strength of recommendation: Do it Agreement rate: 100% Explanation Colonoscopy [58][59][60][61][62][63][64], CT, angiography, scintigraphy [59-61, 64, 65], and abdominal US [66] are commonly used for the diagnosis of acute LGIB and colonic diverticular bleeding. These modalities have been compared in observational studies [59][60][61]64] but not in a randomized controlled study.…”

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

See 3 more Smart Citations

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

et al. 2019

View full text Add to dashboard Cite

Colonic diverticular disease has been increasing in prevalence in Japan due to the rapidly aging population. Colonic diverticular bleeding can result in hemorrhagic shock requiring blood transfusion, and it carries a high risk of recurrence within 1 year. Colonic diverticulitis can cause abscess, fistula formation, and perforation of the colon that may require surgery, and it often recurs. As a result, patients with colonic diverticular disease are often bothered by required frequent examinations, re-hospitalization, and a consequent decrease in quality of life. However, the management of diverticular disease differs between Japan and Western countries. For example, computed tomography (CT) is readily accessible at Japanese hospitals, so urgent CT may be selected as the first diagnostic procedure for suspected diverticular disease. Endoscopic clipping or band ligation may be preferred as the first endoscopic procedure for diverticular bleeding. Administration of antibiotics and complete bowel rest may be considered as first-line therapy for colonic diverticulitis. In addition, diverticula occur mainly in the sigmoid colon in Western countries, whereas the right side or bilateral of the colon is more commonly involved in Japan. As such, diverticular disease in the right-side colon is more prevalent in Japan than in Western countries. Against this background, concern is growing about the management of colonic diverticular disease in Japan and there is currently no practice guideline available. To address this situation, the Japanese Gastroenterological Association decided to create a clinical guideline for colonic diverticular bleeding and colonic diverticulitis in collaboration with the Japanese Society of Gastroenterology, Japan Gastroenterological Endoscopy Society, and Japanese Society of Interventional Radiology. The steps taken to establish this guideline involved incorporating the concept of the GRADE system for rating clinical guidelines, developing clinical questions (CQs), accumulating evidence through a literature search and review, and developing the Statement and Explanation sections. This guideline includes 2CQs for colonic diverticulosis, 24 CQs for colonic diverticular bleeding, and 17 CQs for diverticulitis.

show abstract

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 89%

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

Section: Quality Of Evidence: C Strength Of Recommendation: Probably mentioning

confidence: 99%

See 2 more Smart Citations

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

et al. 2019

View full text Add to dashboard Cite

show abstract

“…According to a meta-analysis of 14 studies by Zuckerman and Prakash [17], endoscopy leads to a successful diagnosis in between 70 and 90% of patients, with lower sensitivities in the case of lower GIB of about 50% [7,[18][19][20] than in upper GIB.…”

Section: Endoscopy and Enteroscopymentioning

confidence: 99%

Radiographic techniques for the localization and treatment of gastrointestinal bleeding of obscure origin

Friebe

Wieners

2011

Eur J Trauma Emerg Surg

View full text Add to dashboard Cite

show abstract

Lower GI Bleeding: Endoscopic, Radiological and Surgical Diagnosis and Management

Ignjatovic

Jenkins

Saunders

2011

Gastrointestinal Bleeding

View full text Add to dashboard Cite

Prospective Study Comparing Multi‐Detector Row CT and Endoscopy in Acute Gastrointestinal Bleeding

Abstract: Considering the advantages of MDCT over endoscopy, we propose a new diagnostic algorithm for AGIB.

Cited by 65 publications

References 32 publications

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

Guidelines for Colonic Diverticular Bleeding and Colonic Diverticulitis: Japan Gastroenterological Association

Radiographic techniques for the localization and treatment of gastrointestinal bleeding of obscure origin

Lower GI Bleeding: Endoscopic, Radiological and Surgical Diagnosis and Management

Contact Info

Product

Resources

About