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Radiol Clin North Am. 2018 Sep;56(5):791-804. doi: 10.1016/j.rcl.2018.04.009.

Imaging Workup of Acute and Occult Lower Gastrointestinal Bleeding.

Radiologic clinics of North America

Trevor C Morrison, Michael Wells, Jeff L Fidler, Jorge A Soto

Affiliations

  1. Boston University Medical Center, 830 Harrison Avenue, FGH 3rd Floor, Boston, MA 02118, USA.
  2. Department of Radiology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.
  3. Boston University Medical Center, 830 Harrison Avenue, FGH 3rd Floor, Boston, MA 02118, USA. Electronic address: [email protected].

PMID: 30119774 DOI: 10.1016/j.rcl.2018.04.009

Abstract

Lower gastrointestinal bleeding is defined as occurring distal to the ligament of Treitz and presents as hematochezia, melena, or with anemia and positive fecal occult blood test. Imaging plays a pivotal role in the localization and treatment of lower gastrointestinal bleeds. Imaging tests in the workup of acute lower gastrointestinal bleeding include computed tomography (CT) angiography, nuclear medicine scintigraphy, and conventional catheter angiography. Catheter angiography can also be used to deliver treatment. Imaging tests in the workup of occult lower gastrointestinal bleeding include CT enterography and nuclear medicine Meckel scan.

Copyright © 2018 Elsevier Inc. All rights reserved.

Keywords: Acute; Angiography; Bleed; Enterography; Gastrointestinal; Lower; Occult; Radiology

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