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Role of multidetector computed tomography angiography in non-variceal upper gastrointestinal bleeding: A comprehensive review
Authors:Alberto Martino  Marco Di Serafino  Lucio Amitrano  Luigi Orsini  Lorena Pietrini  Rossana Martino  Antonella Menchise  Luca Pignata  Luigia Romano  Giovanni Lombardi
Affiliation:Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, Napoli 80131, Italy. moc.liamg@dmonitramotrebla;Department of General and Emergency Radiology, AORN “Antonio Cardarelli”, Napoli 80131, Italy;Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples “Federico II”, Napoli 80131, Italy
Abstract:
Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common gastroenterological emergency associated with significant morbidity and mortality. Upper gastrointestinal endoscopy is currently recommended as the gold standard modality for both diagnosis and treatment, with computed tomography traditionally playing a limited role in the diagnosis of acute NVUGIB. Following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. However, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. The aim of our study was to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.
Keywords:Gastrointestinal bleeding   Upper gastrointestinal bleeding   Non-variceal upper gastrointestinal bleeding   Computed tomography   Multidetector computed tomography   Multidetector computed tomography angiography
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