Parekh PJ, Buerlein RC, Shams R, Vingan H, Johnson DA. Evaluation of gastrointestinal bleeding: Update of current radiologic strategies. World J Gastrointest Pharmacol Ther 2014; 5(4): 200-208 [PMID: 25374760 DOI: 10.4292/wjgpt.v5.i4.200]
Corresponding Author of This Article
David A Johnson, MD, MACG, FASGE, Professor of Medicine, Chief, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Eastern Virginia Medical School, 885 Kempsville Road, Suite 114, Norfolk, VA 23510, United States. dajevms@aol.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Review
Open-Access Policy of This Article
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World J Gastrointest Pharmacol Ther. Nov 6, 2014; 5(4): 200-208 Published online Nov 6, 2014. doi: 10.4292/wjgpt.v5.i4.200
Evaluation of gastrointestinal bleeding: Update of current radiologic strategies
Parth J Parekh, Ross C Buerlein, Rouzbeh Shams, Harlan Vingan, David A Johnson
Parth J Parekh, Rouzbeh Shams, Department of Internal Medicine, Eastern Virginia Medical School, Norfolk, VA 23510, United States
Ross C Buerlein, Department of Internal Medicine, University of Virginia, Charlottesville, VA 22903, United States
Harlan Vingan, Department of Radiology, Eastern Virginia Medical School, Norfolk, VA 23510, United States
David A Johnson, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Eastern Virginia Medical School, Norfolk, VA 23510, United States
Author contributions: Parekh PJ, Buerlein RC and Johnson DA contributed equally to this work; Parekh PJ, Buerlein RC and Johnson DA contributed to the conception, initiation and manuscript writing; Shams R and Vingan H contributed to the manuscript writing.
Correspondence to: David A Johnson, MD, MACG, FASGE, Professor of Medicine, Chief, Department of Internal Medicine, Division of Gastroenterology and Hepatology, Eastern Virginia Medical School, 885 Kempsville Road, Suite 114, Norfolk, VA 23510, United States. dajevms@aol.com
Telephone: +1-757-4660165 Fax: +1-757-4669082
Received: February 26, 2014 Revised: June 10, 2014 Accepted: September 23, 2014 Published online: November 6, 2014
Abstract
Gastrointestinal bleeding (GIB) is a common presentation with significant associated morbidity and mortality, the prevalence of which continues to rise with the ever-increasing aging population. Initial evaluation includes an esophagoduodeonscopy and/or colonoscopy, which may fail to reveal a source. Such cases prove to be a dilemma and require collaboration between gastroenterology and radiology in deciding the most appropriate approach. Recently, there have been a number of radiologic advances in the approach to GIB. The purpose of this review is to provide an evidence-based update on the most current radiologic modalities available and an algorithmic approach to GIB.
Core tip: The purpose of this review will be to discuss to provide an evidence-based update on the most current diagnostic and interventional radiologic modalities available and provide clinicians with an algorithmic approach to gastrointestinal bleeding.
