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Provocative angiography in obscure gastrointestinal bleeding.

Publication ,  Journal Article
Shetzline, MA; Suhocki, P; Dash, R; Rockey, DC
Published in: South Med J
December 2000

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.

Duke Scholars

Published In

South Med J

ISSN

0038-4348

Publication Date

December 2000

Volume

93

Issue

12

Start / End Page

1205 / 1208

Location

United States

Related Subject Headings

  • Recurrence
  • Radiography, Interventional
  • Middle Aged
  • Intestine, Small
  • Humans
  • General & Internal Medicine
  • Gastrointestinal Hemorrhage
  • Female
  • Angiography
  • 42 Health sciences
 

Citation

APA
Chicago
ICMJE
MLA
NLM
Shetzline, M. A., Suhocki, P., Dash, R., & Rockey, D. C. (2000). Provocative angiography in obscure gastrointestinal bleeding. South Med J, 93(12), 1205–1208.
Shetzline, M. A., P. Suhocki, R. Dash, and D. C. Rockey. “Provocative angiography in obscure gastrointestinal bleeding.South Med J 93, no. 12 (December 2000): 1205–8.
Shetzline MA, Suhocki P, Dash R, Rockey DC. Provocative angiography in obscure gastrointestinal bleeding. South Med J. 2000 Dec;93(12):1205–8.
Shetzline, M. A., et al. “Provocative angiography in obscure gastrointestinal bleeding.South Med J, vol. 93, no. 12, Dec. 2000, pp. 1205–08.
Shetzline MA, Suhocki P, Dash R, Rockey DC. Provocative angiography in obscure gastrointestinal bleeding. South Med J. 2000 Dec;93(12):1205–1208.

Published In

South Med J

ISSN

0038-4348

Publication Date

December 2000

Volume

93

Issue

12

Start / End Page

1205 / 1208

Location

United States

Related Subject Headings

  • Recurrence
  • Radiography, Interventional
  • Middle Aged
  • Intestine, Small
  • Humans
  • General & Internal Medicine
  • Gastrointestinal Hemorrhage
  • Female
  • Angiography
  • 42 Health sciences