Today, I review, link to, and excerpt from The Role of Imaging for GI Bleeding: ACG and SAR Consensus Recommendations [PubMed Abstract] [Full-Text HTML] [Full-Text PDF]. Radiology. 2024 Mar;310(3):e232298. doi: 10.1148/radiol.232298.
And here is the link to the eight Appendices S1 – S8 [16 p PDF]. This resource should also be carefully reviewed along with the main article.
- Appendix S1
Process for Panel Selection, Document Preparation, and Consensus - Appendix S2
Overview of GI Bleeding - Appendix S3
Terminology of Cross-sectional Imaging Techniques Used in Imaging
GI Bleeding - Appendix S4
Nuclear Medicine Labeling Methods - Appendix S5
Gastroenterology Perspective - Appendix S6
Additional Cross-sectional Imaging Techniques and Potential Future
Advances - Appendix S7
Special Considerations - Appendix S8
Comparison of Recommendations to the American College of
Radiology (ACR) Appropriateness Criteria (AC)
There are 105 similar articles in PubMed.
All that follows is from the above resource.
Abstract
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 health care utilization and costs. Radiologic techniques including CT angiography, catheter angiography, CT enterography, MR 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. © Radiological Society of North America and the American College of Gastroenterology, 2024. Supplemental material is available for this article. This article is being published concurrently in American Journal of Gastroenterology and Radiology. The articles are identical except for minor stylistic and spelling differences in keeping with each journal’s style. Citations from either journal can be used when citing this article. See also the editorial by Lockhart in this issue.