Type:
Educational Exhibit
Keywords:
Haemorrhage, Diagnostic procedure, CT-Angiography, Emergency, Abdomen
Authors:
J. M. Artigas Martin1, M. Martí De Gracia2, J. A. Soto3, H. Esteban Cuesta1, A. Vicente Bartulos2, M. E. Guillén Subirán1, A. Díez Tascón2; 1Zaragoza/ES, 2Madrid/ES, 3Boston, MA/US
DOI:
10.1594/ecr2012/C-0632
Conclusion
Role of MDCT in the clinical
management of AGIB.
Both ends
Upper GI bleeding: just when the light goes off.
The standard clinical management of upper gastrointestinal bleeding focuses on endoscopy,
which quickly and accurately identify and treat the bleeding lesion in most cases.
This approach can be altered in two situations,
where the CTA plays a key role:
•when massive presence of blood and clots prevents adequate visualization
•when the blood comes from a place not accessible to the endoscope (eg,
small bowel,
bile or pancreatic ducts)
Lower intestinal bleeding: CTA as the first step in ED
Fig. 30 Fig. 31
CT angiography in acute lower GI bleeding.
CTA as the first step in Emergency Department* Fig. 25
Summary.
Role of CTA in the clinical management of AGIB Fig. 26
Our tips Fig. 27
ALIB.
Our proposal
Fig. 28
Fig. 28