Role of red blood cell scintigraphy for determining the localization of gastrointestinal bleeding

Şanlı, Yasemin; Özkan, Zeynep Gözde; Kuyumcu, Serkan; Yanar, Hakan; Balık, Emre; Tokmak, Handan; Türkmen, Cüneyt; Adalet, İşık

doi:10.5505/tjtes.2012.55553

Cited by 2 publications

(1 citation statement)

References 20 publications

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“…This may help avoid further investigations or interventions in patients with negative scintigram and would help increase the likelihood of a positive subsequent angiogram. [56][57][58] Computed Tomography Angiography When the hemodynamics do not permit endoscopic evaluation and/or when patients are unable to tolerate a bowel preparation, noncolonoscopic interventions are relevant. The triple phase multidetector row computed tomography (CT) scan shows bleeding as extravasation of contrast, which increases through the arterial to portal venous phase.…”

Section: Nonendoscopic Interventions Radionuclide Scanningmentioning

confidence: 99%

Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding

Ilyas

Szilagy

2018

Clinics in Colon and Rectal Surgery

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Diverticular bleeding is the most common cause of lower gastrointestinal bleeding with nearly 200,000 admissions in the United States annually. Less than 5% of patients with diverticulosis present with diverticular bleeding and present usually as painless, intermittent, and large volume of lower gastrointestinal bleeding. Management algorithm for patients presenting with diverticular bleeding includes resuscitation followed by diagnostic evaluation. Colonoscopy is the recommended first-line investigation and helps in identifying the stigmata of recent hemorrhage and endoscopic management of the bleeding. Radionuclide scanning is the most sensitive but least accurate test due to low spatial resolution. Angiography is helpful when patients are actively bleeding and therapeutic interventions are performed with angioembolization. Surgery for diverticular bleeding is necessary when associated with hemodynamic instability and after failed endoscopic or angiographic interventions. When the bleeding site is localized preoperatively, partial colectomy is sufficient, but subtotal colectomy is necessary when localization is not possible preoperatively.

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Section: Nonendoscopic Interventions Radionuclide Scanningmentioning

confidence: 99%

Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding

Ilyas

Szilagy

2018

Clinics in Colon and Rectal Surgery

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Lower GI bleeding: a review of current management, controversies and advances

Moss

Tuffaha

Malik

2015

Int J Colorectal Dis

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There are still many unanswered questions. In particular, the development of a more reliable predictive tool for mortality, rebleeding and requirement for surgery needs to be the ultimate priority. There are a small number of encouraging developments on combination therapy with regard to angiography, endoscopy and surgery. Additionally, the increasing use of haemostatic agents provides an additional tool for the management of bleeding endoscopically in difficult situations.

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Role of red blood cell scintigraphy for determining the localization of gastrointestinal bleeding

Cited by 2 publications

References 20 publications

Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding

Management of Diverticular Bleeding: Evaluation, Stabilization, Intervention, and Recurrence of Bleeding and Indications for Resection after Control of Bleeding

Lower GI bleeding: a review of current management, controversies and advances

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