Acute gastrointestinal haemorrhage: the role of the radiologist
- 1Department of Vascular Radiology, Leeds & West Yorkshire Radiology Academy, Leeds General Infirmary, Leeds, UK
- 2Department of Vascular Radiology, Leeds Teaching Hospital NHS Trust, Leeds, UK
- Correspondence to Dr Sapna Puppala, Department of Vascular Radiology, Leeds Teaching Hospitals NHSTrust, Great George Street, Leeds, LS1 3EX, UK;
- Received 12 August 2009
- Accepted 6 February 2011
- Published Online First 12 March 2011
Acute gastrointestinal (GI) haemorrhage is a frequent and potentially life threatening medical presentation, the management of which depends on more than one speciality. Upper GI haemorrhage is often treated by endoscopic methods, failing which radiological intervention or surgery are the alternative methods of treatment. Radiology is crucial both in the diagnosis and treatment of lower GI haemorrhage, where the role of endoscopy is limited by poor visibility. CT angiography is now the first line investigation of choice and catheter angiography is used as a prelude to intervention. Interventional radiological techniques for treatment include embolisation for both upper and lower GI arterial haemorrhage and transjugular intrahepatic portosystemic shunting for upper GI variceal haemorrhage refractory to endoscopic treatment.
Competing interests None declared.
Provenance and peer review Commissioned; externally peer reviewed.