Your activity: 16 p.v.

Procedures used for evaluation of lower gastrointestinal bleeding

Procedures used for evaluation of lower gastrointestinal bleeding
Technique Advantages Disadvantages
Radionuclide imaging

Noninvasive

Sensitive to low rates of bleeding

Can be repeated for intermittent bleeding

Has to be performed during active bleeding

Poor localization of bleeding site

Not therapeutic

Not widely available
CT angiography

Noninvasive

Accurately localizes bleeding source

Provides anatomic detail

Widely available

Has to be performed during active bleeding

Not therapeutic

Radiation and IV contrast exposure
Angiography

Accurately localizes bleeding source

Therapy possible with super-selective embolization

Does not require bowel preparation

Has to be performed during active bleeding

Potential for serious complications
Colonoscopy

Precise diagnosis and localization regardless of active bleeding or type of lesion

Endoscopic therapy is possible

Need colon preparation for optimal visualization

Risk of sedation in acutely bleeding patient

Definite bleeding source (stigmata) infrequently identified
CT: Computed tomographic; IV: intravenous.
Graphic 74147 Version 3.0