This poster was originally presented at the SERAM 2012 meeting, May 24-28, in Granada/ES. Este póster ha sido presentado originalmente en el congreso de la SERAM 2012, 24-28 de mayo, en Granada/ES.
www.seram.es
Type:
Presentación Electrónica Científica
Authors:
V. Garcia Blazquez1, A. Vicente-Bártulos1, J. Zamora Romero1, O. M. Sanz de León1, M. Martí De Gracia1, J. M. Artigas Martin2; 1Madrid/ES, 2Zaragoza/ES
DOI:
10.1594/seram2012/S-0871
Conclusiones
CONCLUSIONES:
Los resultados muestran una alta sensibilidad y especificidad,
lo que indica que el TC es un método diagnóstico excelente para la detección y localización de la hemorragia digestiva.
Sin embargo es remarcable la gran heterogeneidad encontrada,
esto quizá puede ser debido a la gran variablidad de técnicas de referencia empleadas,
en cada estudio,
lo que puede influir la estimación de la precisión,
la sensibilidad combinada y la especificidad.
Sería interesante incluir el TCMD en los nuevos protocolos de actuación en la hemorragia digestiva en las unidades de urgencia hospitalaria y evaluar posteriormente su impacto en la reducción del tiempo de diagnóstico y por lo tanto de costes hospitalarios.
BIBLIOGRAFÍA:
- Martí Milagros,
Artigas José M,
Garzón Gonzalo,
Álvarez-Sala Rodolfo,
Soto Jorge A.
Acute lower intestinal bleeding: Feasibility and diagnostic performance of CT angiography.
Radiology 2012;262:109-116.
- Al-Saeed Osama,
Kombar Osama,
Morsy Mohammed,
Sheikh Mehraj.
Sixty- four Multi-detector Computerised Tomography in the detection of lower gastrointestinal bleeding: A prospective study.
Journal of Medical Imaging and Radiation Oncology.
2011; 55: 252-258.
- Jin Woong Kim,
Sang Soo Shin,
Woong Yoon,
Nam Kyu Chang,
Suk Hee Heo,
Yong Yeon Leong et al.
Diagnosis of acute gastrointestinal bleeding: Comparition of arterial,
the portal ,
and the combined set using 64-section Computed Tomography.
J.
Comput Assist Tomogr.2011;35:206-211.
- Palma John,
Mihaila Marius,
Pilleul Frank.
Multidetector computed tomography in acute lower gastrointestinal bleeding.
Reposrts in Medical Imaging 2010;3 : 107-113.
- Kennedy Daniel,
Laing Christopher,
Tseng Lee,
Rosenblum David,
Tamarkin Stephen.
Detection of active gastrointestinal hemorrhage with CT angiography: a 4 ½-year retrospective review.
J Vasc Interv Radiol.
2010,
21:848-855
- Foley PT,
Ganeshan A,
Anthony S,
Uberoi R.Multidetector CT angiography for lower gastrointestinal bleeding: Can it select patients for endovascular intervention?.
Journal of Medical Imaging and Radiation Oncology.
2010,54:9-16.
- Lian-Ming Wu,
Jian-Rong Xu,
Yan Yin,
Xin-Hua Qu.
Usefulness of CT angiography in diagnosing acute gastrointestinal bleeding: A meta-analysis.
World Journal Gastroenterol 2010;16: 3957-3963.
- Hara Amy,
Walter Blake,
Silva Alvin,
Leighton Jonathan.
Preliminary estimate of triphasic CT enterography performance in hemodynamically stable patients with suspected gastrointestinal bleeding.
AJR.
2009; 193:1252-60.
- Heiss Peter,
Zoeger Niels,
Hamer Okka,
Seitz Johannes,
Müller-Wille Rene,
Koller Michael,
et al.
Optimized Multidetector Computed Tomopraphic protocol for diagnosis of active obscure gastrointestinal bleeding: A feasibility study.
J Comput Assist Tomogr 2009; 33: 698-704.
- Frattaroli Fabrizio,
Casciani Emanuele,
Spoletini Domenico,
Polettini Elisabetta,
Nunziale Aldo,
Bertini Luca,
et al.
Prospective study comparing Multi-Detector Row CT and endoscopy in acute gastrointestinal bleeding.
World J Surg 2009;33: 2209-2217.
- Lee S,
Welman CJ,
Ramsay D.
Investigation of acute lower gastrointestinal bleeding with 16- and 64-slice Multidetector CT.
Journal of Medical Imaging and Radiation Oncology.
2019;53: 56-63.
- Zink Stephen,
Ohki Stephen,
Stein Barry,
Zambuto Domenic,
Rosenberg Ronald,
Choi Jenny et al.
Noninvasive evaluation of active lower gastrointestinal bleeding: Comparison between contrast enhanced MDCT and 99Tc-Labeled RBC Scintigraphy.
AJR.
2008;191:1107-14.
- Sun Mi Lee,
Tae Oh Kim,
Hyoung Yoel Park,
Kyung Yeob Kim,
Gwang Ha Kim,
Dae Hwang Kang et al.
Role of Multi-detector Row Computed Tomography for lacalization of acute lower gastrointestinal bleeding.
Korean J Gastroenterol.
2008; 51(5): 298-304.
- Jaeckle T,
Stuber G,
Hoffmann M.H,
Jeltsch M,
Schmitz B.L,
Aschoff A.J.
Detection and localization of acute upper and lower gastrointestinal bleeding with arterial phase Multi-detector Row Helical CT.
Eur Radiol 2008,
18:1406-13.
- Chua AE,
Ridley Lj.
Diagnostic accuracy of CT angiography in acute gastrointestinal bleeding.
Journal of Medical Imaging and Radiation Oncology.
2008; 53: 333-338.
- Scheffel Hans,
Pfammatter Thomas,
Bauerfeind Peter,
Marincek Borut,
Alkadhi Hatem.
Acute gastrointestinal bleeding : detection of source and etiology with Multi-detector-Row CT.
Eur Radiol 2007; 17: 1555-1565.
- Woong Yoon,
Yong Yeon Jeong,
Sang Soo Shin,
Hyo soon Lim,
Sang Gook Song,
Nam Gyu Jang et al.
Acute massive gastrointestinal bleeding: Detection and localization with arterial phase Multi-Detector Row Helical CT.
Radiology 2006; 239: 160-167.
- Sabharwal ROHAN,
Vladica Philip,
Chou Roger,
Law Phillip.
Helical CT in the diagnosis of acute lower gastrointestinal haemorrhage.
European Lournal of Radiology 2006;58: 273-279.
- Ko HS,
Tesdal K,
Dominguez E,
Haehler G,
Sadick M,
Düber C.
et al.
Localization of bleeding using 4- Row Detector –CT in patients with clinical signs of acute gastrointestinal hemorrhage.
Fortschr Röntgenstr 2005; 177: 1649-1654.
- Miller frank,
Hwang Caroline.
An initial experience using hemical CT to detect obscure gastrointestinal bleeding.
Journal of Clinical Imaging 2004; 28: 245-251.
- Tew Khimseng,
Davies Roger,
Jadun Changez,
Kew Jacqueline.
MDCT of acute gastrointestinal bleeding.
AJR.
2004; 182: 427-430.
- Yamaguchi T,
Yoshikawa K.
Enhanced CT for initial localization of active lower gastrointestinal bleeding.
Abdom Imaging 2003; 28: 634-636.
- Ernst Olivier,
Bulois Philippe,
Saint-Drenant Sophie,
Leroy Christophe,
Paris Jean-Claude,
Sergent Geraldine.
Helical CT in acute lower gastrointestinal bleeding.
Eur Radiol 2003: 13: 114-117.
- Ettorre Giovanni,
Francioso Giuseppe,
Garribba Angela,
Fracella Maria,
Greco Alfonso,
Farchi Giuseppe.
Helical CT Angiopraphy in gastrointestinal bleeding of obscure oring.
AJR 1997; 168: 727-730.