Abstract
In cases of severe colon bleeding, it is more important to know the site than the cause, in case surgery is required. Technetium-labeled red-cell scan (TLRCS) is known to identify the site of bleeding at the rate of 0.1 ml per minute or more. The aim of this retrospective study was to see whether TLRCS was a reliable indicator of the site of severe colon bleeding. A retrospective study was made of patients investigated in this way for acute, severe colon bleeding at St. Vincent's Hospital, Melbourne, from 1984 to 1988 (five years). TLRCS identified the site of bleeding in less than half of the cases but correctly identified the site in all nine patients in whom bleeding was so severe as to require emergency surgery, avoiding total colectomy in eight cases.
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References
Rodgers BH, Adler F. Hemangiomas of cecum. Colonoscopic diagnosis and therapy. Gastroenterology 1976;71:1079–82.
Swarbrick ET, Fevre DI, Hunt RH,et al. Colonoscopy for unexplained rectal bleeding. BMJ 1978;2:1685–7.
Jensen DM, Machicado GA. Emergency colonoscopy in patients with severe lower gastrointestinal bleeding. Gastroenterology 1980;80:1184.
Campbell WB, Rhodes M, Kettlewell MG. Colonoscopy following intraoperative lavage in the management of severe colon bleeding. Ann R Coll Surg Engl 1985;67:290–2.
Baum S, Nusbaum M, Blakemore WS, Finkelstein AK. The operative radiographic demonstration of intra-abdominal bleeding from undetermined sites by percutaneous selective celiac and superior mesenteric arteriography. Surgery 1965;58:797–805.
Baum S. Angiography of the gastrointestinal bleeder. Radiology 1982;413:569–72.
Hines JR, Stryker SJ, Neiman HL,et al. Intraoperative angiography in intestinal angiopdysplasia. Surg Gynecol Obstet 1981;152:453–60.
Sabanathan S, Nagg SB. Operative angiography in the management of massive rectal bleeding. J R Coll Surg Edinb 1984;29:96–9.
Pavel DG, Zimmer AM, Patterson VN. In vivo labelling of red blood cells with 99 m Tc: a new approach to blood pool visualisation. J Nucl Med 1977;18:305–8.
Markisz JA, Front D, Royal HD, Sacks B, Parker JA, Kolodny GM. An evaluation of 99 m Tc-labelled red blood cell scintigraphy for the detection and localization of gastrointestinal bleeding sites. Gastroenterology 1982;83:394–8.
Harvey MH, Neoptolemos JP, Watkin EM, Cosgriff P, Barrie WW. Technetium-labelled red blood cell scintigraphy in the diagnosis of intestinal haemorrhage. Ann R Coll Surg Engl 1985;67:89–92.
Nicholson ML, Neoptolemos JP, Sharp JF, Watkin EM, Fossard DP. Localisation of lower gastrointestinal bleeding using in vivo technetium-99m-labelled red blood cell scintigraphy. Br J Surg 1989;78:358–61.
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Read at the XIIIth Biennial Congress of the International Society of University Colon and Rectal Surgeons, Graz, Austria, June 24 to 28, 1990.
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Ryan, P., Styles, C.B. & Chmiel, R. Identification of the site of severe colon bleeding by Technetium-labeled red-cell scan. Dis Colon Rectum 35, 219–222 (1992). https://doi.org/10.1007/BF02051010
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DOI: https://doi.org/10.1007/BF02051010