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Published in: Abdominal Radiology 3/2009

01-06-2009

Multi-phase CT enterography in obscure GI bleeding

Author: James E. Huprich

Published in: Abdominal Radiology | Issue 3/2009

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Abstract

Multiphase CT enterography is a modification of conventional abdominal CT designed to optimize detection of abnormalities responsible for obscure GI bleeding. This imaging test appears to be complimentary to wireless capsule endoscopy in the evaluation of this difficult group of patients. A description of exam technique, findings, and discussion of results will be presented in this article.
Literature
1.
go back to reference Spiller RC, Parkins RA (1983) Recurrent gastrointestinal bleeding of obscure origin: report of 17 cases and a guide to logical management. Br J Surg 70(8):489–493PubMedCrossRef Spiller RC, Parkins RA (1983) Recurrent gastrointestinal bleeding of obscure origin: report of 17 cases and a guide to logical management. Br J Surg 70(8):489–493PubMedCrossRef
2.
go back to reference Thompson JN, et al. (1987) Specialist investigation of obscure gastrointestinal bleeding. Gut 28(1):47–51PubMedCrossRef Thompson JN, et al. (1987) Specialist investigation of obscure gastrointestinal bleeding. Gut 28(1):47–51PubMedCrossRef
3.
go back to reference Zuckerman GR, et al. (2000) AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology 118(1):201–221PubMedCrossRef Zuckerman GR, et al. (2000) AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology 118(1):201–221PubMedCrossRef
4.
5.
go back to reference Pennazio M (2006) Capsule endoscopy: where are we after 6 years of clinical use? Dig Liver Dis 38(12):867–878PubMedCrossRef Pennazio M (2006) Capsule endoscopy: where are we after 6 years of clinical use? Dig Liver Dis 38(12):867–878PubMedCrossRef
6.
go back to reference Carey EJ, et al. (2007) A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding. Am J Gastroenterol 102(1):89–95PubMedCrossRef Carey EJ, et al. (2007) A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding. Am J Gastroenterol 102(1):89–95PubMedCrossRef
7.
go back to reference Duchesne J, et al. (2005) CT-angiography for the detection of a lower gastrointestinal bleeding source. Am Surg 71(5):392–397PubMed Duchesne J, et al. (2005) CT-angiography for the detection of a lower gastrointestinal bleeding source. Am Surg 71(5):392–397PubMed
8.
go back to reference Ernst O, et al. (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13(1):114–117PubMed Ernst O, et al. (2003) Helical CT in acute lower gastrointestinal bleeding. Eur Radiol 13(1):114–117PubMed
9.
go back to reference Ettorre GC, et al. (1997) Helical CT angiography in gastrointestinal bleeding of obscure origin. Am J Roentgenol 169(6):1749 Ettorre GC, et al. (1997) Helical CT angiography in gastrointestinal bleeding of obscure origin. Am J Roentgenol 169(6):1749
10.
go back to reference Grassi R, et al. (2000) Multiple jejunal angiodysplasia detected by enema-helical CT. Clin Imaging 24(2):61–63PubMedCrossRef Grassi R, et al. (2000) Multiple jejunal angiodysplasia detected by enema-helical CT. Clin Imaging 24(2):61–63PubMedCrossRef
11.
go back to reference Junquera F, et al. (2000) Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia. Gastroenterology 119(2):293–299PubMedCrossRef Junquera F, et al. (2000) Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia. Gastroenterology 119(2):293–299PubMedCrossRef
12.
go back to reference Miller FH, Hwang CM (2004) An initial experience—Using helical CT imaging to detect obscure gastrointestinal bleeding. Clin Imaging 28(4):245–251PubMedCrossRef Miller FH, Hwang CM (2004) An initial experience—Using helical CT imaging to detect obscure gastrointestinal bleeding. Clin Imaging 28(4):245–251PubMedCrossRef
13.
go back to reference Mindelzun RE, Beaulieu CF (1997) Using biphasic CT to reveal gastrointestinal arteriovenous malformations. AJR Am J Roentgenol 168(2):437–438PubMed Mindelzun RE, Beaulieu CF (1997) Using biphasic CT to reveal gastrointestinal arteriovenous malformations. AJR Am J Roentgenol 168(2):437–438PubMed
14.
go back to reference Tew K, et al. (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182(2):427–430PubMed Tew K, et al. (2004) MDCT of acute lower gastrointestinal bleeding. AJR Am J Roentgenol 182(2):427–430PubMed
15.
go back to reference Yamaguchi T, Yoshikawa K (2003) Enhanced CT for initial localization of active lower gastrointestinal bleeding. Abdom Imaging 28(5):634–636PubMedCrossRef Yamaguchi T, Yoshikawa K (2003) Enhanced CT for initial localization of active lower gastrointestinal bleeding. Abdom Imaging 28(5):634–636PubMedCrossRef
16.
go back to reference Yoshikawa K, et al. (2000) The role of dual-phase enhanced helical computed tomography in difficult intestinal bleeding. J Clin Gastroenterol 31(1):83–84PubMedCrossRef Yoshikawa K, et al. (2000) The role of dual-phase enhanced helical computed tomography in difficult intestinal bleeding. J Clin Gastroenterol 31(1):83–84PubMedCrossRef
17.
go back to reference Yoon W, et al. (2006) Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 239(1):160–167PubMedCrossRef Yoon W, et al. (2006) Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 239(1):160–167PubMedCrossRef
19.
go back to reference Boley S, Sprayregen S, Sammartano R, et al. (1977) The pathophysiologic basis for the angiographic signs of vascular ectasias of the colon. Radiology 125:615–621PubMed Boley S, Sprayregen S, Sammartano R, et al. (1977) The pathophysiologic basis for the angiographic signs of vascular ectasias of the colon. Radiology 125:615–621PubMed
20.
go back to reference Horton KM, et al. (2004) Computed tomography imaging of gastrointestinal stromal tumors with pathology correlation. J Comput Assist Tomogr 28(6):811–817PubMedCrossRef Horton KM, et al. (2004) Computed tomography imaging of gastrointestinal stromal tumors with pathology correlation. J Comput Assist Tomogr 28(6):811–817PubMedCrossRef
21.
go back to reference Hochter WWW, Kuhner E, et al. (1985) Angiodysplasia in the colon and rectum—endoscopic morphology, localization and frequency. Endoscopy 17(5):182–185PubMedCrossRef Hochter WWW, Kuhner E, et al. (1985) Angiodysplasia in the colon and rectum—endoscopic morphology, localization and frequency. Endoscopy 17(5):182–185PubMedCrossRef
22.
go back to reference Foutch P (1993) Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol 88(6):806–818 Foutch P (1993) Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol 88(6):806–818
23.
go back to reference Lahoti S, Fukami N (1999) The small bowel as a source of gastrointestinal blood loss. Curr Gastroenterol Rep 1:424–430PubMedCrossRef Lahoti S, Fukami N (1999) The small bowel as a source of gastrointestinal blood loss. Curr Gastroenterol Rep 1:424–430PubMedCrossRef
24.
go back to reference Huprich JE, Fletcher JG, Alexander JA, et al. (2008) Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography—initial experience. Radiology 246:562–571PubMedCrossRef Huprich JE, Fletcher JG, Alexander JA, et al. (2008) Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography—initial experience. Radiology 246:562–571PubMedCrossRef
Metadata
Title
Multi-phase CT enterography in obscure GI bleeding
Author
James E. Huprich
Publication date
01-06-2009
Publisher
Springer-Verlag
Published in
Abdominal Radiology / Issue 3/2009
Print ISSN: 2366-004X
Electronic ISSN: 2366-0058
DOI
https://doi.org/10.1007/s00261-008-9412-8

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