Title
Role of Imaging for Gastrointestinal Bleeding
Authoring Organizations
Publication Month/Year
March 4, 2024
Last Updated Month/Year
March 13, 2024
Supplemental Implementation Tools
Document Type
Consensus
Country of Publication
US
Document Objectives
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.
Inclusion Criteria
Male, Female, Adolescent, Adult, Child, Older adult
Health Care Settings
Hospital, Outpatient, Radiology services
Intended Users
Nurse, nurse practitioner, physician, physician assistant
Scope
Diagnosis, Assessment and screening
Diseases/Conditions (MeSH)
D006471 - Gastrointestinal Hemorrhage
Keywords
Upper Gastrointestinal bleeding, gastrointestinal bleeding, abdominal bleeding
Source Citation
Sengupta, Neil MD1; Kastenberg, David M. MD2; Bruining, David H. MD3; Latorre, Melissa MD, MS4; Leighton, Jonathan A. MD5; Brook, Olga R. MD6; Wells, Michael L. MD7; Guglielmo, Flavius F. MD8; Naringrekar, Haresh V. MD8; Gee, Michael S. MD, PhD9; Soto, Jorge A. MD10; Park, Seong Ho MD, PhD11; Yoo, Don C. MD12; Ramalingam, Vijay MD6; Huete, Alvaro MD13; Khandelwal, Ashish MD7; Gupta, Avneesh MD10; Allen, Brian C. MD14; Anderson, Mark A. MD9; Dane, Bari R. MD15; Sokhandon, Farnoosh MD16; Grand, David J. MD12; Tse, Justin R. MD17; Fidler, Jeff L. MD7. The Role of Imaging for Gastrointestinal Bleeding: Consensus Recommendations From the American College of Gastroenterology and Society of Abdominal Radiology. The American Journal of Gastroenterology 119(3):p 438-449, March 2024. | DOI: 10.14309/ajg.0000000000002631