Verbesserter Nachweis gastrointestinaler Blutungsquellen mit 99 mTc-markierten autologen Erythrocyten und kontinuierlicher dynamischer Szintigraphie mit Cine-mode-Befundung

Meller, J.; Schönborn, E.; Conrad, M.; Horstmann, O.; Roggenbuck, Dirk; Becker, Wolfgang

doi:10.1007/s001040050048

Cited by 10 publications

(3 citation statements)

References 24 publications

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“…Although a specificity of up to 94%, with a sensitivity of 95%, has been reported [37], other authors cite a significant rate of incorrect localization [38,33,39]. We suggest caution in recommending limited colonic resection on the basis of a positive red blood cell scan only.…”

Section: Nuclear Scanmentioning

confidence: 70%

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Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results

Schuetz

Jauch

2001

Langenbeck's Archives of Surgery

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Lower gastrointestinal bleeding (LGIB) is normally treated conservatively or by noninvasive techniques. Emergency operations are only necessary when patients with severe hemorrhage cannot be stabilized by emergency endoscopy or angiography. To improve the postoperative outcome it is of importance to operate on the patients without any unnecessary time delay. If the preoperative localization of the bleeding source failed, a total or subtotal colectomy should be regarded as a safe procedure. A blind segmental resection should not be done. Alternatively, several ileotomies or colotomies might be performed in order to localize and treat the bleeding site. Elective surgery is indicated with chronic or recurrent bleeding that cannot be treated conservatively. A meticulous preoperative localization of the bleeding site, including anorectoscopy, endoscopy, angiography and nuclear scan is required. With reliable knowledge of the cause and localization of the suspected hemorrhage, a directed segmental bowel resection should be performed.

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Section: Nuclear Scanmentioning

confidence: 70%

“…Colonoscopy should be considered early in the evaluation of patients with acute gastrointestinal hemorrhage [28]. Endoscopy successfully identifies the origin in 74-89% of cases in patients with severe hematochezia [29,30,8]. Before colonoscopy, an anterograde colon preparation with a purge solution is recommended in stable patients [31].…”

Section: Endoscopymentioning

confidence: 99%

Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results

Schuetz

Jauch

2001

Langenbeck's Archives of Surgery

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“…Ein um 12-24 h verzö-gert durchgeführter Erythrozyten-Scan vermag auch kleinere Blutungen nachzuweisen [46]. Obwohl eine Spezifität von 94% und eine Sensitivität von 95% angegeben wird [34], sehen andere Autoren v.a. bei der Lokalisationsdiagnostik Schwierigkeiten [9].…”

Section: Szintigraphieunclassified

Sigmadivertikulitis Notfallinterventionen bei Abszess, Blutung und Stenose

Bertram

Truong

Schumpelick

2002

Chirurg

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Interventional techniques in treatment of complicated diverticulitis gain more and more importance. In particular abscesses and bleeding are treated successfully. In case of diverticular abscess (Hinchey classification stage I and II) percutaneous drainages are placed sonographically or CT guided. Interventional drainage offers the possibility of elective one-stage surgical treatment of diverticulitis with significant reduce of mortality and morbidity rates. Diverticular bleeding is usually diagnosed and treated endoscopically. Only if endoscopy is not able to manage bleeding, angiography or nuclear scan is demanded. In case of stenosis endoscopic treatment has not jet gained clinical relevance.

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Gastrointestinal Vascular Diseases: Percutaneous Approach

Engelke¹,

Morgan²,

Belli³

2002

Pan Vascular Medicine

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Verbesserter Nachweis gastrointestinaler Blutungsquellen mit 99 mTc-markierten autologen Erythrocyten und kontinuierlicher dynamischer Szintigraphie mit Cine-mode-Befundung

Abstract: Continuous dynamic 99mTc red blood cell scintigraphy interpreted by cine-mode display is highly accurate in the identification of a bleeding site. When performed correctly, scintigraphy enables usually segmental resection of these lesions.

Cited by 10 publications

References 24 publications

Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results

Lower gastrointestinal bleeding: therapeutic strategies, surgical techniques and results

Sigmadivertikulitis Notfallinterventionen bei Abszess, Blutung und Stenose

Gastrointestinal Vascular Diseases: Percutaneous Approach

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