Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Comparative Study
. 2009 Oct;33(10):2209-17.
doi: 10.1007/s00268-009-0156-6.

Prospective study comparing multi-detector row CT and endoscopy in acute gastrointestinal bleeding

Fabrizio M Frattaroli  1 , Emanuele Casciani, Domenico Spoletini, Elisabetta Polettini, Aldo Nunziale, Luca Bertini, Annarita Vestri, Gianfranco Gualdi, Giuseppe Pappalardo
Affiliations
Comparative Study

Prospective study comparing multi-detector row CT and endoscopy in acute gastrointestinal bleeding

Fabrizio M Frattaroli et al. World J Surg. 2009 Oct.

Abstract

Background: Upper and lower acute gastrointestinal bleeding (AGIB) is associated with high rates of mortality and morbidity. The latest computerized tomography (CT) imaging techniques play an important role in the treatment of this pathology.

Methods: Twenty-nine patients with severe AGIB (11 upper, 18 lower), all hemodynamically stable, underwent endoscopy followed by a multi-detector row CT (MDCT) scan. Endoscopic and MDCT accuracy for the anatomical localization and etiology of AGIB was assessed, the diagnosis being considered correct when the two procedures were concordant or when the diagnosis was confirmed by angiographic, surgical, or post-mortem findings.

Results: The sensitivity in identifying the site and etiology of bleeding was, respectively, 100% and 90.9% for the MDCT scan, compared with 72.7% and 54.5% for endoscopy in upper AGIB, and 100% and 88.2% for the MDCT scan, compared with 52.9% and 52.9% for endoscopy, in lower AGIB.

Conclusions: Considering the advantages of MDCT over endoscopy, we propose a new diagnostic algorithm for AGIB.

PubMed Disclaimer

References

    1. Semin Nucl Med. 2003 Oct;33(4):297-311 - PubMed
    1. Abdom Imaging. 2008 May-Jun;33(3):285-93 - PubMed
    1. Am J Gastroenterol. 1989 Aug;84(8):878-81 - PubMed
    1. Am J Gastroenterol. 1997 Feb;92(2):236-43 - PubMed
    1. Dig Surg. 2004;21(4):293-6 - PubMed

Publication types