Provocative angiography in obscure gastrointestinal bleeding.

Published

Journal Article

Obscure gastrointestinal (GI) bleeding is relatively common but difficult to manage. By definition, diagnosis of a specific etiology is particularly challenging. We report the diagnostic use of provocative angiography in a patient with recurrent obscure GI bleeding. Although provocative angiography led to localization of bleeding and allowed specific treatment (placement of a 2-mm long, 0.010-inch diameter platinum coil, resulting in cessation of bleeding for 2 months), ultimately, the use of provocative angiography delayed specific diagnosis in our patient. We conclude that provocative angiography is a potentially powerful adjunct in the management of obscure GI bleeding, but that caution is required when using it. Provocative angiography should be reserved for patients who have had adequate imaging studies with negative results.

Full Text

Duke Authors

Cited Authors

  • Shetzline, MA; Suhocki, P; Dash, R; Rockey, DC

Published Date

  • December 2000

Published In

Volume / Issue

  • 93 / 12

Start / End Page

  • 1205 - 1208

PubMed ID

  • 11142458

Pubmed Central ID

  • 11142458

International Standard Serial Number (ISSN)

  • 0038-4348

Language

  • eng

Conference Location

  • United States