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>Journals >Acta Médica Grupo Ángeles >Year 2010, Issue 1

Ríos RJL, Ramírez AJL
Non-variceal gastrointestinal bleeding: Radiological management
Acta Med 2010; 8 (1)

Language: Español
References: 46
Page: 12-24
PDF: 413.64 Kb.

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The imaging diagnosis of nonvariceal digestive bleeding is an important part of the management of patients with this condition, clinicians and radiologists must consider the best options. AngioCT is one of the most common non invasive radiological procedures to use in these patients. Tc99 nuclear medicine imaging is also a rutine diagnostic resource. The next step would be the performance of angiography that can confirm the bleeding and specially the vascular origin. Again the clinician and the radiologist must consider if an interventional procedure such as embolization should be an option.

Key words: Gastrointestinal bleeding, diagnostic imaging, interventional radiology.


  1. Laing CJ, Tobias T, Rosenblum DI, Banker WL, Tseng L, Tamarkin SW. Acute Gastrointesnial Bleeding: Emerging role of multidetector CT Angiography and review of current imaging techniques. RadioGraphics 2007; 27: 1055-1070.

  2. Ballesteros-Amozurrutia MA. Hemorragia Gastrointestinal En: Takahashi, T. Colon, Recto y Ano. Enfermedades médico-quirúrgicas. 1a edición México: Editores de Textos Mexicanos. 2003: 191-194.

  3. Stallard DJ, Tu RK, Gould MJ, Pozniack MA, Pettersen JC. Minor vascular anatomy of the abdomen and pelvis: a CT atlas. RadioGraphics 1994; 14(3): 493-513.

  4. Horton KM, Fishman EK. Volume-render 3D CT of the mesenteric vasculature: normal anatomy, anatomic variants and pathologic conditions. RadioGraphics 2002; 22(1): 161-172.

  5. Nelson TM, Pollak R, Jonasson O, Abcarian H. Anatomic variants of the celiac, superior mesenteric and inferior mesenteric arteries and their clinic relevance. Clin Anat 1988; 1(2): 75-91.

  6. Lee EW, Laberge JM. Differential diagnosis of gastrointestinal bleeding. Tech Vasc Interv Radiol 2005; 7: 112-122.

  7. Epstein A, Isselbacher KJ. Gastrointestinal bleeding. In: Fauci AS, Braunwald E, Isselbacher KJ, et al, eds. Harrison’s Principles of Internal Medicine. 14th ed. New York, NY: McGraw-Hill, 1998; 26-249.

  8. Fallah MA, Prakash C, Edmundowiicz S. Acute gastrointestinal bleeding. Med Clin North Am 2000; 84(5): 1183-1208.

  9. Palmer K. Management of haematemesis and melena. Postgrad Med J 2004; 80(945): 399-404.

  10. Rios Reina JL. Panangiografía visceral En: Takahashi T. Colon, Recto y Ano. Enfermedades médico-quirúrgicas. 1° edición México: Editores de Textos Mexicanos. 2003; 105-112.

  11. Longstreth GF. Epidemiology of hospitalization for acute gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 1995; 90(2): 206-210

  12. Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol 1997; 92(3): 419-424.

  13. Bordley DR, Mushlin AI, Dolan JG. Early clinical sign identify low-risk patients with acute upper gastrointestinal hemorrhage. JAMA 1985; 253(22): 3282-3285.

  14. Eisen GM, Dominitz JA, Faigel DO. American Society for Gastrointestinal Endoscopy. Standards of Practice Committe. An annotated algorithmic approach to upper gastrointestinal bleeding. Gastrointest Endosc 2001; 53(7): 853-858.

  15. Katschinski B, Logan R, Davies J. Prognostic factors in upper gastrointestinal bleeding. Dig Dis Sci 1994; 39(4): 712-760.

  16. Yavorski RT, Wong RK, Maydonovitch C. Analysis of 3,294 cases of upper gastrointestinal bleeding in military facilities. Am J Gastroenterol 1995; 90(4): 568-573.

  17. American College of Surgeons, Advanced Trauma Life Support 1997.

  18. DeMarkles MP, Murphy JR. Acute lower gastrointestinal bleeding. Med Clin North Am 1993; 77(5): 1085-1100.

  19. Vázquez Díaz, M. Métodos de diagnóstico por medicina nuclear En: Takahashi,T. Colon, Recto y Ano. Enfermedades médico-quirúrgicas. 1° edición México: Editores de Textos Mexicanos. 2003; 151-156.

  20. Rahn NH 3rd, Tishler JM, Han SY, Russinovich NA. Diagnostic and interventional angiography in acute gastrointestinal hemorrhage. Radiology 1982; 143(2):361-366.

  21. Seldinger SI. Catheter replacement of the needle in percutaneous arteriography. Acta Radiol 1953; 39: 368-376.

  22. Browder W, Cerise EJ, Litwin, MS. Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg 1986; 204: 530-536.

  23. Leitman IM, Paull DE, Shires GT. Evaluation and management of massive lower gastrointestinal hemorrhage. Ann Surg 1989; 209: 175-180.

  24. Athanasoulis CA, Waltman AC, Novelline RA, Krudy AG, Sniderman KW. Angiography. Its contribution to the emergency management of gastrointestinal hemorrhage. Radiol Clin North Am 1976; 14: 265-280.

  25. Welch CE, Hedberg S. Gastrointestinal hemorrhage. Part I. General considerations of diagnosis and therapy. Adv Surg 1973; 7: 95-148.

  26. Hastings GS. Angiographic localization and transcatheter treatment of gastrointestinal bleeding. RadioGraphics 2000; 20: 1160-1168.

  27. Irving JD, Northfield TC. Emergency arteriography in acute gastrointestinal bleeding. Br Med J 1976; 1: 929-931.

  28. Baum S. Angiography and the gastrointestinal bleeder. Radiology 1982; 143: 569-572.

  29. Guy GE, Shetty PC, Sharma RP, Burke MW, Burke TH. Acute lower gastrointestinal hemorrhage: treatment by superselective embolization with polyvinyl alcohol particles. AJR 1992; 159: 521-526.

  30. Gomes AS, Lois JF, McCoy RD. Angiographic treatment of gastrointestinal hemorrhage: comparison of vasopressin infusion and embolization. AJR 1986; 146: 1031-1037.

  31. Conn NO, Ramsby GR, Storer EH. Selective intra-arterial vasopressin in the treatment of upper gastrointestinal hemorrhage. Gastroenterology 1972; 63: 634-645.

  32. Bookstein JJ, Naderi MJ, Walter JF. Transcatheter embolization for lower gastrointestinal bleeding. Radiology 1978; 127: 345-349.

  33. Sniderman KW, Franklin J, Sos TA. Successful transcatheter gelfoam embolization of a bleeding cecal vascular ectasia. AJR 1978; 131: 157-159.

  34. Chuang VP, Wallace S, Zornoza J, Davis LJ. Transcatheter arterial occlusion in the management of rectosigmoidal bleeding. Radiology 1979; 133: 605-609.

  35. Kuo WT, Lee DE, Saad WE, Patel N, Sahler LG, Waldman DL. Superselective Microcoil embolization for the treatment of lower gastrointestinal hemorrhage. J Vasc Interv Radiol 2003; 14(12): 1503-1509.

  36. Funaki B, Kostelic JK, Lorenz J. Superselective microcoil embolization of colonic hemorrhage. AJR 2001; 177(4): 829-836.

  37. Defreyne L, Vanlangenhove P, De Vos M. Embolization as a first approach with endoscopically unmanageable acute nonvariceal gastrointestinal hemorrhage. Radiology 2001; 218(3): 729-748.

  38. Aina R, Oliva VL, Therasse E. Arterial embolotherapy for upper gastrointestinal hemorrhage: outcome assessment. J Vasc Interv Radiol 2001; 12(2): 195-200.

  39. Encarnación CE, Kadir S, Beam CA, Payne CS. Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology 1992; 183: 505-508.

  40. Rosenkrantz H, Bookstein JJ, Rosen RJ, Goff WB, Healey JF. Postembolic colonic infarction. Radiology 1982; 142: 47-51.

  41. Mitty HA, Efremdis S, Keller RJ. Colonic stricture after transcatheter embolization for diverticular bleeding. AJR 1979; 133: 519-521.

  42. Shenoy SS, Satchidanand S, Wesp EH. Colonic ischemic necrosis following therapeutic embolization. Gastrointest Radiol 1981; 6: 235-237.

  43. Kuhle WG, Sheiman RG. Detection of active colonic hemorrhage with use of helical CT: findings in a swine model. Radiology 2003; 228(3): 743-752.

  44. Tew K, Davies RP, Jadun CK, Kew J. MDCT of acute gastrointestinal bleeding. AJR 2004; 182(2): 427-430.

  45. Yoon W, Jeong YY, Shin SS. Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology 2006; 239(1): 160-167.

  46. Junquera F, Quiroga S, Saperas E. Accuracy of helical computed tomographic angiography for the diagnosis of colonic angiodysplasia. Gastroenterology 2000; 119(2): 293-299.

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