ACR Appropriateness Criteria® Nonvariceal Upper Gastrointestinal Bleeding: 2024 Update.

Autor:	Nagpal P; University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin. Electronic address: pnagpal@wisc.edu., Dane B; NYU Grossman School of Medicine, New York, New York., Aghayev A; Panel Chair, Brigham & Women's Hospital, Boston, Massachusetts., Fowler KJ; Panel Chair, University of California San Diego, San Diego, California., Hedgire SS; Panel Vice-Chair, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts., Bartel TB; Global Advanced Imaging, PLLC, Little Rock, Arkansas; Commission on Nuclear Medicine and Molecular Imaging., Cash BD; University of Texas Health Science Center at Houston and McGovern Medical School, Houston, Texas; American Gastroenterological Association., Collins JD; Mayo Clinic, Rochester, Minnesota; Society for Cardiovascular Magnetic Resonance., Kirsch DS; Ochsner Hospital, Baton Rouge, Louisiana., Lo HS; UMass Memorial Health and UMass Chan Medical School, Worcester, Massachusetts; Committee on Emergency Radiology-GSER., Pietryga JA; University of North Carolina at Chapel Hill, Chapel Hill, North Carolina., Ripley B; VA Puget Sound Health Care System and University of Washington, Seattle, Washington., Santillan CS; University of California San Diego, San Diego, California., Kim DH; Specialty Chair, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin., Steigner ML; Specialty Chair, Brigham & Women's Hospital, Boston, Massachusetts.
Jazyk:	angličtina
Zdroj:	Journal of the American College of Radiology : JACR [J Am Coll Radiol] 2024 Nov; Vol. 21 (11S), pp. S433-S447.
DOI:	10.1016/j.jacr.2024.08.021
Abstrakt:	This document summarizes the relevant literature for the selection of the initial imaging in five clinical scenarios in patients with suspected or known nonvariceal upper gastrointestinal bleeding (UGIB). These clinical scenarios include suspected nonvariceal UGIB without endoscopy performed; endoscopically confirmed nonvariceal UGIB with clear source but treatment not possible or continued bleeding after endoscopic treatment; endoscopically confirmed nonvariceal UGIB without a confirmed source; suspected nonvariceal UGIB with negative endoscopy; and postsurgical or post-traumatic nonvariceal UGIB when endoscopy is contraindicated. The appropriateness of imaging modalities as they apply to each clinical scenario is rated as usually appropriate, may be appropriate, and usually not appropriate to assist the selection of the most appropriate imaging modality in the corresponding clinical scenarios of nonvariceal UGIB. The American College of Radiology Appropriateness Criteria are evidence-based guidelines for specific clinical conditions that are reviewed annually by a multidisciplinary expert panel. The guideline development and revision process support the systematic analysis of the medical literature from peer reviewed journals. Established methodology principles such as Grading of Recommendations Assessment, Development, and Evaluation or GRADE are adapted to evaluate the evidence. The RAND/UCLA Appropriateness Method User Manual provides the methodology to determine the appropriateness of imaging and treatment procedures for specific clinical scenarios. In those instances where peer reviewed literature is lacking or equivocal, experts may be the primary evidentiary source available to formulate a recommendation. (Copyright © 2024 American College of Radiology. Published by Elsevier Inc. All rights reserved.)
Databáze:	MEDLINE
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