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Gastrointestinal Bleeding
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. Funaki B: Gastrointestinal bleeding on call: Questions and answers and one person's opinions. Semin Intervent Radiol. 37(1):31-4, 2020
                      2. Hsu MJ et al: Time to conventional angiography in gastrointestinal bleeding: CT angiography compared to tagged RBC scan. Abdom Radiol (NY). 45(2):307-11, 2020
                      3. Murphy B et al: Small bowel gastrointestinal bleeding diagnosis and management-A narrative review. Front Surg. 6:25, 2019
                      4. 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
                      5. Howarth DM: The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med. 36(2):133-46, 2006
                      6. Zuckier LS: Acute gastrointestinal bleeding. Semin Nucl Med. 33(4):297-311, 2003
                      7. 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
                      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. Funaki B: Gastrointestinal bleeding on call: Questions and answers and one person's opinions. Semin Intervent Radiol. 37(1):31-4, 2020
                                          2. Hsu MJ et al: Time to conventional angiography in gastrointestinal bleeding: CT angiography compared to tagged RBC scan. Abdom Radiol (NY). 45(2):307-11, 2020
                                          3. Murphy B et al: Small bowel gastrointestinal bleeding diagnosis and management-A narrative review. Front Surg. 6:25, 2019
                                          4. 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
                                          5. Howarth DM: The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med. 36(2):133-46, 2006
                                          6. Zuckier LS: Acute gastrointestinal bleeding. Semin Nucl Med. 33(4):297-311, 2003
                                          7. 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