Document Detail


Obscure gastrointestinal bleeding: evaluation with 64-section multiphase CT enterography--initial experience.
MedLine Citation:
PMID:  18227546     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This retrospective HIPAA-compliant study was approved by the institutional review board and institutional conflict of interest committee. Patients gave informed consent for use of medical records. The purpose of the study was to retrospectively evaluate the findings depicted at computed tomographic (CT) enterography performed with a 64-section CT system and by using neutral enteric contrast material and a three-phase acquisition in patients with obscure gastrointestinal bleeding (OGIB). Twenty-two outpatients (11 men, 11 women; age range, 37-83 years) with OGIB underwent CT enterography. Findings were compared with capsule and traditional endoscopic, surgical, and angiographic findings. CT enterographic findings were positive for a bleeding source in 10 (45%) of 22 patients. Eight of 10 positive findings at CT enterography were also positive at capsule endoscopy or subsequent clinical diagnosis. CT enterography helped correctly identify three lesions undetected at capsule endoscopy. Study results suggest that multiphase, multiplanar CT enterography may have a role in the evaluation of OGIB.
Authors:
James E Huprich; Joel G Fletcher; Jeffrey A Alexander; Jeff L Fidler; Sharon S Burton; Cynthia H McCullough
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  246     ISSN:  1527-1315     ISO Abbreviation:  Radiology     Publication Date:  2008 Feb 
Date Detail:
Created Date:  2008-01-29     Completed Date:  2008-02-25     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  United States    
Other Details:
Languages:  eng     Pagination:  562-71     Citation Subset:  AIM; IM    
Copyright Information:
(c) RSNA, 2008.
Affiliation:
Department of Radiology, Mayo Clinic, 200 First Ave SW, Rochester, MN 55905, USA. huprich@mayo.edu
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aged, 80 and over
Female
Gastrointestinal Hemorrhage / radiography*
Gastrointestinal Tract / radiography*
Humans
Male
Middle Aged
Pilot Projects
Radiographic Image Enhancement / methods
Radiographic Image Interpretation, Computer-Assisted / methods*
Reproducibility of Results
Sensitivity and Specificity
Tomography, X-Ray Computed / instrumentation,  methods*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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