Open AccessAccurate Localization and Surgical Management of Active Lower Gastrointestinal Hemorrhage with Technetium-Labeled Erythrocyte Scintigraphy
Author(s) -
Michael Suzman,
Mia Talmor,
Richard Jennis,
Barbara Binkert,
Philip S. Barie
Publication year - 1996
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-199607000-00005
Subject(s) - medicine , scintigraphy , radiology , technetium , angiography , colonoscopy , nuclear medicine , colorectal cancer , cancer
There is disagreement over the reliability of technetium Tc 99m (99mTc)-labeled erythrocyte scintigraphy in the localization of active lower gastrointestinal hemorrhage. A previous study at The New York Hospital-Cornell Medical Center that showed a superior sensitivity for localization of scintigraphy versus angiography in surgical patients led the authors to emphasize scintigraphy as the diagnostic test of first choice in the clinical diagnostic algorithm. The authors hypothesized that tagged erythrocyte scintigraphy can be used accurately as the primary diagnostic modality in localizing acute bleeding and guiding surgical intervention.