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American Journal of Roentgenology, Vol 161, 703-711, Copyright © 1993 by American Roentgen Ray Society

ARTICLES

Massive hemorrhage in the lower gastrointestinal tract in adults: diagnostic imaging and intervention

DA Zuckerman, TP Bocchini and EH Birnbaum
Department of Radiology, St. Louis University Medical Center, St. Louis University School of Medicine, MO 63110-0250.

Massive hemorrhage in the lower gastrointestinal tract, defined as bleeding distal to the ligament of Treitz at a rate in excess of 30 ml/hr, is most common in persons more than 50 years old. Most episodes stop spontaneously, although intervention to control the bleeding is needed eventually in 10-25% of patients. This review analyzes the use of scintigraphy, angiography, and interventional techniques in the diagnosis and treatment of these patients.
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