The Role of Imaging for Gastrointestinal Bleeding: Consensus Recommendations From the American College of Gastroenterology and Society of Abdominal Radiology.

Autor:	Sengupta N; Department of Gastroenterology and Hepatology, University of Chicago, Chicago, Illinois, USA., Kastenberg DM; Department of Gastroenterology and Hepatology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Bruining DH; Department of Gastroenterology and Hepatology, Mayo Clinic, Rochester, Minnesota, USA., Latorre M; Department of Gastroenterology and Hepatology, New York University Langone Health, New York City, New York, USA., Leighton JA; Department of Gastroenterology and Hepatology, Mayo Clinic, Scottsdale, Arizona, USA., Brook OR; Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA., Wells ML; Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA., Guglielmo FF; Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Naringrekar HV; Department of Radiology, Thomas Jefferson University, Philadelphia, Pennsylvania, USA., Gee MS; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA., Soto JA; Department of Radiology, Boston University, Boston, Massachusetts, USA., Park SH; Department of Radiology, Asan Medical Center, Seoul, South Korea., Yoo DC; Department of Radiology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Ramalingam V; Department of Radiology, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA., Huete A; Department of Radiology, Pontifical Catholic University of Chile, Santiago, Chile., Khandelwal A; Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA., Gupta A; Department of Radiology, Boston University, Boston, Massachusetts, USA., Allen BC; Department of Radiology, Duke University, Durham, North Carolina, USA., Anderson MA; Department of Radiology, Massachusetts General Hospital, Boston, Massachusetts, USA., Dane BR; Department of Radiology, New York University Langone Health, New York City, New York, USA., Sokhandon F; Department of Radiology, William Beaumont University Hospital, Royal Oak, Michigan, USA., Grand DJ; Department of Radiology, Warren Alpert Medical School of Brown University, Providence, Rhode Island, USA., Tse JR; Department of Radiology, Stanford University, Stanford, California, USA., Fidler JL; Department of Radiology, Mayo Clinic, Rochester, Minnesota, USA.
Jazyk:	angličtina
Zdroj:	The American journal of gastroenterology [Am J Gastroenterol] 2024 Mar 01; Vol. 119 (3), pp. 438-449. Date of Electronic Publication: 2023 Oct 04.
DOI:	10.14309/ajg.0000000000002631
Abstrakt:	Gastrointestinal (GI) bleeding is the most common GI diagnosis leading to hospitalization within the United States. Prompt diagnosis and treatment of GI bleeding is critical to improving patient outcomes and reducing high healthcare utilization and costs. Radiologic techniques including computed tomography angiography, catheter angiography, computed tomography enterography, magnetic resonance enterography, nuclear medicine red blood cell scan, and technetium-99m pertechnetate scintigraphy (Meckel scan) are frequently used to evaluate patients with GI bleeding and are complementary to GI endoscopy. However, multiple management guidelines exist which differ in the recommended utilization of these radiologic examinations. This variability can lead to confusion as to how these tests should be used in the evaluation of GI bleeding. In this document, a panel of experts from the American College of Gastroenterology and Society of Abdominal Radiology provide a review of the radiologic examinations used to evaluate for GI bleeding including nomenclature, technique, performance, advantages, and limitations. A comparison of advantages and limitations relative to endoscopic examinations is also included. Finally, consensus statements and recommendations on technical parameters and utilization of radiologic techniques for GI bleeding are provided. (Copyright © 2024 by The American College of Gastroenterology and the Radiological Society of North America.)
Databáze:	MEDLINE
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