The double contrast barium meal in patients with acute upper gastrointestinal bleeding.
One hundred and seven patients admitted to a small general hospital with acute upper gastrointestinal bleeding have been examined by the double contrast barium meal technique. The presumed bleeding site was identified in 75 cases (70%). Twenty-eight patients showed radiological evidence of recent or active bleeding. These were all examined within 24 h of the bleed and 18 (64%) continued to bleed or had a further bleed whereas of 79 patients who did not show radiological signs of recent or active bleeding only 10(13%) continued to bleed or had a further bleed. The radiological features of recent or active bleeding seen on the double contrast barium meal are: 1, Blood clot in an ulcer or adherent to a recently bleeding lesion. 2. An artery in the base of an ulcer. 3. Active bleeding during the course of the examination seen as a dynamic alteration or disturbance in the barium as it flows over the bleeding site.
D000208:Acute Disease; D001466:Barium Sulfate; D004381:Duodenal Ulcer / Q000000981:diagnostic imaging; D005756:Gastritis / Q000000981:diagnostic imaging; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging*; D006801:Humans; D008722:Methods; D011706:Pyloric Antrum / Q000000981:diagnostic imaging; D011859:Radiography; D013276:Stomach Ulcer / Q000000981:diagnostic imaging; D013997:Time Factors
D001466:Barium Sulfate