Jennifer Frances Feneis MD, Abstract Co-Author: Nothing to Disclose

Raja Ramaswamy MD, Presenter: Nothing to Disclose

Kevin Charles McCammack MD, Abstract Co-Author: Nothing to Disclose

Gerant M. Rivera-Sanfeliz MD, Abstract Co-Author: Nothing to Disclose

Overview: Acute lower gastrointestinal bleeding can lead to significant morbidity and mortality without appropriate treatment. The role of interventional radiology is crucial in patients that have persistent bleeding despite medical and endoscopic treatment. In this educational exhibit we will review the following: • ACR Appropriateness Criteria for the radiologic management of lower gastrointestinal tract bleeding. • The practical utilization of radiologic modalities (CT/Nuclear medicine) • Underlying etiologies that can lead to lower GI bleeding • The role of Interventional Radiology in the therapeutic management with endovascular angiography and transcatheter embolization • Provides insight into the essential role of Interventional Radiology in the management of acute GI bleeding.  

• Introduction • Clinical evaluation and patient management • Review ACR appropriateness criteria • The utilization of CTA and Nuclear Medicine • Angiographic evaluation and management • Use of gelfoam, PVA, coils, onyx, glue in the management of lower GI bleeding • Review technical approach to lower GI bleeding specifically using a case-based approach • Conclusions and Future Directions  

http://abstract.rsna.org/uploads/2014/14016807/14016807_3eq8.pdf

Feneis, J, Ramaswamy, R, McCammack, K, Rivera-Sanfeliz, G, Acute Lower Gastrointestinal Bleeding:  Evaluation, Management, and Pitfalls.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14016807.html