The Role of Imaging for Gastrointestinal Bleeding: Consensus Recommendations From the American College of Gastroenterology and Society of Abdominal Radiology.

Authors

Neil Sengupta
David M. Kastenberg
David H. Bruining
Melissa Latorre
Jonathan A. Leighton
Olga R. Brook
Michael L. Wells
Flavius F. Guglielmo
Haresh V. Naringrekar
Farnoosh Sokhandon, Corewell Health East

Document Type

Article

Publication Date

3-1-2024

Publication Title

American Journal of Gastroenterology

Abstract

Gastrointestinal (GI) bleeding is the most common GI diagnosis leading to hospitalization within the United States. Prompt diagnosis and treatment of GI bleeding is critical to improving patient outcomes and reducing high healthcare utilization and costs. Radiologic techniques including computed tomography angiography, catheter angiography, computed tomography enterography, magnetic resonance enterography, nuclear medicine red blood cell scan, and technetium-99m pertechnetate scintigraphy (Meckel scan) are frequently used to evaluate patients with GI bleeding and are complementary to GI endoscopy. However, multiple management guidelines exist which differ in the recommended utilization of these radiologic examinations. This variability can lead to confusion as to how these tests should be used in the evaluation of GI bleeding. In this document, a panel of experts from the American College of Gastroenterology and Society of Abdominal Radiology provide a review of the radiologic examinations used to evaluate for GI bleeding including nomenclature, technique, performance, advantages, and limitations. A comparison of advantages and limitations relative to endoscopic examinations is also included. Finally, consensus statements and recommendations on technical parameters and utilization of radiologic techniques for GI bleeding are provided.

Volume

119

Issue

3

First Page

438

Last Page

449

Recommended Citation

Sengupta N, Kastenberg DM, Bruining DH, Latorre M, Leighton JA, Brook OR, et al. [Sokhandon F]. The role of imaging for gastrointestinal bleeding: consensus recommendations rrom the American College of Gastroenterology and Society of Abdominal Radiology. Am J Gastroenterol. 2024 Mar 1;119(3):438-449. doi: 10.14309/ajg.0000000000002631. PMID: 38857483.

DOI

10.14309/ajg.0000000000002631

ISSN

1572-0241

PubMed ID

38857483