[Gastrointestinal bleeding. Diagnostics and therapy by interventional radiology].
Modern imaging modalities such as (multislice) helical CT allow new diagnostic strategies for gastrointestinal hemorrhage. Today, interventional radiology with superselective transcatheter embolization or TIPS procedures allow minimally invasive therapeutic management which can support or replace surgery. This review is a synopsis of the possibilities and relative merits of diagnostic and therapeutic radiological procedures for gastrointestinal bleeding. Which of them to use should be decided collaboratively by gastroenterologist, surgeon, and radiologist depending on local availability, personal experience, and individual patient factors.
Wingen
M
M
Klinik für Radiologische Diagnostik, Universitätsklinikum Aachen, Medizinische Fakultät der Rheinisch-Westfälischen Technischen Hochschule. wingen@rad.rwth-aachen.de
Günther
R W
RW
D000328:Adult; D000368:Aged; D000792:Angiography; D004621:Embolization, Therapeutic; D005260:Female; D005767:Gastrointestinal Diseases / Q000150:complications / Q000000981:diagnostic imaging* / Q000628:therapy; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000628:therapy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D021621:Imaging, Three-Dimensional; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging; D008875:Middle Aged; D019168:Portasystemic Shunt, Transjugular Intrahepatic; D015642:Radiology, Interventional; D012008:Recurrence; D012307:Risk Factors; D036542:Tomography, Spiral Computed