Management of gastrointestinal bleeding: Society of Abdominal Radiology (SAR) Institutional Survey

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dc.contributor.authorFidler, Jeff L.
dc.contributor.authorGuglielmo, Flavius F.
dc.contributor.authorBrook, Olga R.
dc.contributor.authorStrate, Lisa L.
dc.contributor.authorBruining, David H.
dc.contributor.authorGupta, Avneesh
dc.contributor.authorAllen, Brian C.
dc.contributor.authorAnderson, Mark A.
dc.contributor.authorWells, Michael L.
dc.contributor.authorRamalingam, Vijay
dc.contributor.authorGunn, Martin L.
dc.contributor.authorGrand, David J.
dc.contributor.authorGee, Michael S.
dc.contributor.authorHuete, Alvaro
dc.contributor.authorKhandalwal, Ashish
dc.contributor.authorSokhandon, Farnoosh
dc.contributor.authorPark, Seong Ho
dc.contributor.authorYoo, Don C.
dc.contributor.authorSoto, Jorge A.
dc.date.accessioned2025-01-20T22:01:48Z
dc.date.available2025-01-20T22:01:48Z
dc.date.issued2022
dc.description.abstractDespite guidelines developed to standardize the diagnosis and management of gastrointestinal (GI) bleeding, significant variability remains in recommendations and practice. The purpose of this survey was to obtain information on practice patterns for the evaluation of overt lower GI bleeding (LGIB) and suspected small bowel bleeding. A 34-question electronic survey was sent to all Society of Abdominal Radiology (SAR) members. Responses were received from 52 unique institutions (40 from the United States). Only 26 (50%) utilize LGIB management guidelines. 32 (62%) use CT angiography (CTA) for initial evaluation in unstable patients. In stable patients with suspected LGIB, CTA is the preferred initial exam at 21 ( 40%) versus colonoscopy at 24 (46%) institutions. CTA use increases after hours for both unstable (n = 32 vs. 35, 62% vs. 67%) and stable patients (n = 21 vs. 27, 40% vs 52%). CTA is required before conventional angiography for stable ( n = 36, 69%) and unstable (n = 15, 29%) patients. 38 (73%) institutions obtain two post-contrast phases for CTA. 49 (94%) institutions perform CT enterography (CTE) for occult small bowel bleeding with capsule endoscopy (n = 26, 50%) and CTE (n = 21, 40%) being the initial test performed. 35 (67%) institutions perform multiphase CTE for occult small bowel bleeding. In summary, stable and unstable patients with overt lower GI are frequently imaged with CTA, while CTE is frequently performed for suspected occult small bowel bleeding.
dc.fuente.origenWOS
dc.identifier.doi10.1007/s00261-021-03232-3
dc.identifier.eissn2366-0058
dc.identifier.issn2366-004X
dc.identifier.urihttps://doi.org/10.1007/s00261-021-03232-3
dc.identifier.urihttps://repositorio.uc.cl/handle/11534/93891
dc.identifier.wosidWOS:000698579100002
dc.issue.numero1
dc.language.isoen
dc.pagina.final12
dc.pagina.inicio2
dc.revistaAbdominal radiology
dc.rightsacceso restringido
dc.subjectHemorrhage
dc.subjectGastrointestinal
dc.subjectComputed tomography angiography
dc.subjectMultidetector computed tomography
dc.subjectAngiography
dc.subjectColonoscopy
dc.subjectCapsule endoscopy
dc.subject.ods03 Good Health and Well-being
dc.subject.odspa03 Salud y bienestar
dc.titleManagement of gastrointestinal bleeding: Society of Abdominal Radiology (SAR) Institutional Survey
dc.typeartículo
dc.volumen47
sipa.indexWOS
sipa.trazabilidadWOS;2025-01-12
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