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ACR Appropriateness Criteria® on upper gastrointestinal bleeding
Matthew P Schenker1, Bill S Majdalany, Brian S Funaki
1Brigham and Women's Hospital, Boston, Massachusetts, USA. mschenker@partners.org
Journal of the American College of Radiology : JACR
|November 3, 2010
Summary
Upper gastrointestinal bleeding causes significant mortality. Radiology offers vital, lifesaving interventions when endoscopy is insufficient for managing bleeding causes.
Area of Science:
- Gastroenterology
- Radiology
- Medical Imaging
Background:
- Upper gastrointestinal bleeding (UGIB) is a major cause of morbidity and mortality.
- Prevalence rates range from 36 to 48 cases per 100,000 individuals annually.
- Endoscopic procedures are the primary treatment, but refractory cases require alternative strategies.
Purpose of the Study:
- To review the etiologies of upper gastrointestinal bleeding.
- To discuss management recommendations for UGIB.
- To highlight the role of current radiographic methods in diagnosis and treatment.
Main Methods:
- Literature review of current radiographic methods for UGIB.
- Analysis of diagnostic and interventional radiology techniques.
- Discussion of management strategies based on literature findings.
Main Results:
- Radiology provides crucial interventions for UGIB cases refractory to endoscopy.
- Advancements in imaging and interventional radiology enhance treatment efficacy.
- Various etiologies of UGIB are identified and linked to specific radiographic approaches.
Conclusions:
- Radiology plays an increasingly vital role in managing upper gastrointestinal bleeding.
- Interventional radiology offers lifesaving options for complex UGIB cases.
- Evidence-based management recommendations utilizing radiographic methods are presented.
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