[Demonstration and localization of hemorrhage in the intestinal tract. Comparison between 99mTc-colloid scintigraphy and selective angiography of the visceral vessels].
In 17 patients with suspected bleeding in the lower intestinal tract 23 scintigraphic studies were performed with Tc-colloid, followed in each case by visceral-artery angiography. Comparison of the two methods with the final clinical diagnosis indicated that angiography was correct in 6 of 23 examinations (26%), scintigraphy in 12 of 23 (52%). All scintigraphically negative results were negative also angiographically. Noninvasive, relatively unstressful scintigraphy should be performed for immediate diagnosis in any case of acute bleeding. Emergency-type angiography is reasonably performed only if scintigraphy is positive.
D000328:Adult; D000368:Aged; D003973:Diatrizoate / Q000031:analogs & derivatives*; D003974:Diatrizoate Meglumine; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis*; D006801:Humans; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging*; D008875:Middle Aged; D011859:Radiography; D013667:Technetium; D017556:Technetium Compounds; D014001:Tin; D017971:Tin Compounds
D017556:Technetium Compounds; D017971:Tin Compounds; C033493:technetium Tc 99m tin colloid; D003973:Diatrizoate; D003974:Diatrizoate Meglumine; D013667:Technetium; D014001:Tin
Nachweis und Lokalisation von Blutungen im Intestinaltrakt. Vergleich zwischen 99mTc-Kolloid-Szintigraphie und selektiver Angiographie der viszeralen Gefsse.