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Role of multidetector computed tomography angiography in non-variceal upper gastrointestinal bleeding: A
Alberto Martino1, Marco Di Serafino2, Lucio Amitrano3
1Department of Gastroenterology and Digestive Endoscopy, AORN "Antonio Cardarelli", Napoli 80131, Italy. albertomartinomd@gmail.com.
Insights
Multidetector computed tomography (MDCT) shows promise for diagnosing non-variceal upper gastrointestinal bleeding (NVUGIB). This review examines current evidence on MDCT
Area of Science:
- Gastroenterology
- Radiology
- Medical Imaging
Background:
- Non-variceal upper gastrointestinal bleeding (NVUGIB) is a frequent medical emergency.
- It is associated with considerable morbidity and mortality.
- Upper gastrointestinal endoscopy is the current standard for diagnosis and treatment.
Purpose of the Study:
- To review existing evidence on the diagnostic utility of multidetector computed tomography (MDCT) for acute NVUGIB.
- To assess the emerging role of MDCT in managing NVUGIB.
Main Methods:
- Systematic review of current literature.
- Analysis of studies investigating MDCT for NVUGIB diagnosis.
Main Results:
- MDCT is emerging as a valuable tool for diagnosing NVUGIB.
- Evidence supporting its role is still developing.
- Further research is needed to establish its definitive place in clinical practice.
Conclusions:
- MDCT presents a promising non-invasive option for NVUGIB diagnosis.
- Its diagnostic accuracy and clinical impact require further investigation.
- MDCT may complement or serve as an alternative to endoscopy in specific NVUGIB cases.
Abstract:
Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common gastroenterological emergency associated with significant morbidity and mortality. Upper gastrointestinal endoscopy is currently recommended as the gold standard modality for both diagnosis and treatment, with computed tomography traditionally playing a limited role in the diagnosis of acute NVUGIB. Following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. However, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. The aim of our study was to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.
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