P Amritha P, Gadabanahalli Karthik, Bhat Venkatraman, N Kishore Kumar B
Department of Radiology, Mazumdar Shaw Medical Centre - Narayana Multispecialty Hospital, Narayana Health, Bommasandra, Bengaluru, India.
Ann Hepatobiliary Pancreat Surg. 2021 Feb 28;25(1):160-166. doi: 10.14701/ahbps.2021.25.1.160.
Department of Radiology, Mazumdar Shaw Medical Centre - Narayana Multispecialty Hospital, Narayana Health, Estimation of quantity and rate of bleeding is of great value in the management of patients with acute GI bleed. Endoscopy and multiphase contrast enhanced computed tomography (MCECT) are the presently employed two important methods for this purpose. Still there is a lacuna in the methods of precise estimation of amount of bleed, which at the moment are somewhat unreliable and subjectively evaluated. We present the value of dynamic contrast-enhanced CT examination in quantitatively estimating the amount of extravasated blood with the help of three illustrative clinical examples. Technique CT examination, the methodology for assessment of quantity of bleed is presented and the discussion of existing literature regarding the estimation methods is presented.Bommasandra, Bengaluru, India.
纳拉亚纳健康集团马祖达尔·肖医疗中心 - 纳拉亚纳多专科医院放射科，印度班加罗尔博马桑德拉 对急性胃肠道出血患者进行出血量和出血速率的评估在其治疗中具有重要价值。目前，内镜检查和多期对比增强计算机断层扫描（MCECT）是用于此目的的两种重要方法。然而，在精确估计出血量的方法方面仍存在空白，目前这些方法在一定程度上不可靠且是主观评估的。我们通过三个具有说明性的临床实例展示动态对比增强CT检查在定量估计外渗血液量方面的价值。介绍了CT检查技术、评估出血量的方法，并对现有关于估计方法的文献进行了讨论。
