Prospective Study Comparing Multi-Detector Row CT and Endoscopy in Acute Gastrointestinal Bleeding
| العنوان: | Prospective Study Comparing Multi-Detector Row CT and Endoscopy in Acute Gastrointestinal Bleeding |
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| المؤلفون: | Elisabetta Polettini, Gianfranco Gualdi, Annarita Vestri, Domenico Spoletini, Emanuele Casciani, Luca Bertini, Giuseppe Pappalardo, Aldo Nunziale, Fabrizio Maria Frattaroli |
| المصدر: | World Journal of Surgery. 33:2209-2217 |
| بيانات النشر: | Springer Science and Business Media LLC, 2009. |
| سنة النشر: | 2009 |
| مصطلحات موضوعية: | Adult, Male, medicine.medical_specialty, Gastrointestinal bleeding, Adolescent, Endoscopy, Gastrointestinal, Young Adult, medicine, Acute Disease, Adolescent, Adult, Aged, Aged, 80 and over, Algorithms, Endoscopy, Gastrointestinal, Female, Gastrointestinal Hemorrhage, etiology, Humans, Male, Middle Aged, Tomography, X-Ray Computed, Young Adult, Humans, cardiovascular diseases, Prospective cohort study, Aged, Aged, 80 and over, medicine.diagnostic_test, business.industry, Middle Aged, Vascular surgery, medicine.disease, Cardiac surgery, Endoscopy, Cardiothoracic surgery, Acute Disease, Etiology, Female, Surgery, Radiology, Gastrointestinal Hemorrhage, Tomography, X-Ray Computed, business, Algorithms, Abdominal surgery |
| الوصف: | 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. |
| تدمد: | 1432-2323 0364-2313 |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::33323e921b79d5e21c9cfe22e1a7e0acTest https://doi.org/10.1007/s00268-009-0156-6Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....33323e921b79d5e21c9cfe22e1a7e0ac |
| قاعدة البيانات: | OpenAIRE |
| تدمد: | 14322323 03642313 |
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