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Gastrointestinal Bleed Localization
Paula Vergara-Wentland, MD; Paige Bennett, MD
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KEY FACTS

  • Imaging

    • Diagnostic Checklist

      TERMINOLOGY

      • Definitions

        • Localization of GI bleed origin on scintigraphy to direct angiographic/endoscopic intervention or selective surgery
          • Tc-99m red blood cells (RBCs)
          • Tc-99m sulfur colloid (SC)

      IMAGING

      • General Features

        • Nuclear Medicine Findings

          • Imaging Recommendations

            DIFFERENTIAL DIAGNOSIS

              PATHOLOGY

              • General Features

                CLINICAL ISSUES

                • Demographics

                  • Treatment

                    DIAGNOSTIC CHECKLIST

                    • Reporting Tips

                      Selected References

                      1. ACR-SNMMI-SPR Practice Guideline for the Performance of Gastrointestinal Scintigraphy. http://snmmi.files.cms-plus.com/docs/GI_Scintigraphy_1382731852503_4.pdf Published October 1, 2010. Accessed May 6, 2014
                      2. Howarth DM: The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med. 36(2):133-46, 2006
                      3. Strate LL: Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am. 34(4):643-64, 2005
                      4. Levy R et al: Retrospective study of the utility of nuclear scintigraphic-labeled red cell scanning for lower gastrointestinal bleeding. ANZ J Surg. 73(4):205-9, 2003
                      5. Zuckier LS: Acute gastrointestinal bleeding. Semin Nucl Med. 33(4):297-311, 2003
                      6. Ponzo F et al: Tc-99m sulfur colloid and Tc-99m tagged red blood cell methods are comparable for detecting lower gastrointestinal bleeding in clinical practice. Clin Nucl Med. 27(6):405-9, 2002
                      7. Meller J et al: [Improved detection of gastrointestinal bleeding sites with 99mTc market autologous erythrocytes and continuous dynamic scintigraphy with cine-mode display.] Chirurg. 71(3):292-9, 2000
                      Related Anatomy
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                      Related Differential Diagnoses
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                      References
                      Tables

                      Tables

                      KEY FACTS

                      • Imaging

                        • Diagnostic Checklist

                          TERMINOLOGY

                          • Definitions

                            • Localization of GI bleed origin on scintigraphy to direct angiographic/endoscopic intervention or selective surgery
                              • Tc-99m red blood cells (RBCs)
                              • Tc-99m sulfur colloid (SC)

                          IMAGING

                          • General Features

                            • Nuclear Medicine Findings

                              • Imaging Recommendations

                                DIFFERENTIAL DIAGNOSIS

                                  PATHOLOGY

                                  • General Features

                                    CLINICAL ISSUES

                                    • Demographics

                                      • Treatment

                                        DIAGNOSTIC CHECKLIST

                                        • Reporting Tips

                                          Selected References

                                          1. ACR-SNMMI-SPR Practice Guideline for the Performance of Gastrointestinal Scintigraphy. http://snmmi.files.cms-plus.com/docs/GI_Scintigraphy_1382731852503_4.pdf Published October 1, 2010. Accessed May 6, 2014
                                          2. Howarth DM: The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med. 36(2):133-46, 2006
                                          3. Strate LL: Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am. 34(4):643-64, 2005
                                          4. Levy R et al: Retrospective study of the utility of nuclear scintigraphic-labeled red cell scanning for lower gastrointestinal bleeding. ANZ J Surg. 73(4):205-9, 2003
                                          5. Zuckier LS: Acute gastrointestinal bleeding. Semin Nucl Med. 33(4):297-311, 2003
                                          6. Ponzo F et al: Tc-99m sulfur colloid and Tc-99m tagged red blood cell methods are comparable for detecting lower gastrointestinal bleeding in clinical practice. Clin Nucl Med. 27(6):405-9, 2002
                                          7. Meller J et al: [Improved detection of gastrointestinal bleeding sites with 99mTc market autologous erythrocytes and continuous dynamic scintigraphy with cine-mode display.] Chirurg. 71(3):292-9, 2000