Recent use of NSAID and NOAC medications are associated with a positive CT arteriogram

Shafqet, Muhammad A.; Tonthat, Alexander; Esparragoza, Paola; Toro, Butros; Ehrlich, Adam C.; Friedenberg, Frank K.

doi:10.1007/s00261-019-02005-3

Cited by 3 publications

(2 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…A shock index (heart rate divided by systolic blood pressure) of ≥1 can also be used as a supplemental tool to predict active bleeding on CTA (108) but has not been shown to be strongly predictive of clinical outcomes in LGIB (42). Additional variables that may increase the probability of a positive CTA in patients with significant LGIB include recent use of NSAIDs or DOACs (109). In a large, multicenter Japanese cohort of patients admitted with LGIB, urgent CT within an hour was performed in 97.5% of the cohort, with 22.0% demonstrating extravasation on CT (37).…”

Section: Diagnostic Testingmentioning

confidence: 99%

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

et al. 2022

View full text Add to dashboard Cite

Acute lower gastrointestinal bleeding (LGIB) is a common reason for hospitalization in the United States and is associated with significant utilization of hospital resources, as well as considerable morbidity and mortality. These revised guidelines implement the Grading of Recommendations, Assessment, Development, and Evaluation methodology to propose recommendations for the use of risk stratification tools, thresholds for red blood cell transfusion, reversal agents for patients on anticoagulants, diagnostic testing including colonoscopy and computed tomography angiography (CTA), endoscopic therapeutic options, and management of antithrombotic medications after hospital discharge. Important changes since the previous iteration of this guideline include recommendations for the use of risk stratification tools to identify patients with LGIB at low risk of a hospital-based intervention, the role for reversal agents in patients with life-threatening LGIB on vitamin K antagonists and direct oral anticoagulants, the increasing role for CTA in patients with severe LGIB, and the management of patients who have a positive CTA. We recommend that most patients requiring inpatient colonoscopy undergo a nonurgent colonoscopy because performing an urgent colonoscopy within 24 hours of presentation has not been shown to improve important clinical outcomes such as rebleeding. Finally, we provide updated recommendations regarding resumption of antiplatelet and anticoagulant medications after cessation of LGIB.

show abstract

Section: Diagnostic Testingmentioning

confidence: 99%

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

et al. 2022

View full text Add to dashboard Cite

show abstract

“…Bleeding beyond the ligament of Treitz, which is a thin band that links the ending of duodenum and the beginning of jejunum in the gastrointestinal tract (GIT) or called the suspensory muscle of duodenum, is considered as bleeding in the lower GIT, therefore the term lower gastrointestinal bleeding is a misnomer and should be called lower intestinal bleeding instead [1,2]. Gastrointestinal bleeding is also defined as any bleeding that takes place in the GIT from mouth to anus [3].…”

Section: Introductionmentioning

confidence: 99%

Causes and Management of Lower Gastro-Intestinal Bleeding

Hussein

Alshagawi

Fateel³

et al. 2021

JPRI

View full text Add to dashboard Cite

Gastrointestinal (GI) bleeding from the colon is a communal reason for hospitalization and is being more frequent in older patients. Gastrointestinal bleeding is known as any bleeding that takes place in the GIT from mouth to anus. Lower GI bleeding is defined as bleeding distal to the ligament of Treitz. Lower GI bleed is typically presented as hematochezia which is the passing of bright red blood clots or burgundy stools through the rectum. The causes of lower GI bleeding are changing over the past several decades from diverticulosis (which is the protrusion of the colon wall at the site of penetrating vessels), infectious colitis, ischemic colitis, angiodysplasia, inflammatory bowel disease, colon cancer, hemorrhoids, anal fissures, rectal varices, dieulafoy lesion, radiation-induced damage following cancer treatment to post-surgical. Management of lower GI bleeding is done through assessing the severity of symptoms and the condition of the overall case.

show abstract

Lower Gastrointestinal Bleeding

Amin

Antunes

2003

Clinics in Colon and Rectal Surgery

View full text Add to dashboard Cite

Recent use of NSAID and NOAC medications are associated with a positive CT arteriogram

Cited by 3 publications

References 22 publications

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline

Causes and Management of Lower Gastro-Intestinal Bleeding

Lower Gastrointestinal Bleeding

Contact Info

Product

Resources

About