Radiologic diagnosis and treatment of gastrointestinal hemorrhage and ischemia

Med Clin North Am. 2002 Nov;86(6):1357-99. doi: 10.1016/s0025-7125(02)00080-9.


Major breakthroughs in catheter, guidewire, and other angiographic equipment currently allow interventional radiologists to diagnose massive life-threatening upper and lower GI hemorrhage and to stop the bleeding safely and effectively using superselective catheterization and microcoil embolization. Similarly, the interventional radiologist can treat acute intestinal ischemia safely and effectively with selective catheterization and papaverine administration and treat chronic mesenteric ischemia by percutaneous angioplasty and stent placement. A multidisciplinary approach, including the gastroenterologist, radiologist, and surgeon, is critical in managing GI bleeding and intestinal ischemia, particularly in patients at high risk or presenting as diagnostic dilemmas.

MeSH terms

  • Diverticulitis, Colonic / diagnosis
  • Embolization, Therapeutic
  • Gastrointestinal Hemorrhage / diagnostic imaging*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Intestine, Small / blood supply*
  • Ischemia / diagnostic imaging*
  • Ischemia / therapy
  • Mesentery / blood supply
  • Radiography
  • Radionuclide Angiography
  • Radiopharmaceuticals / therapeutic use
  • Technetium Tc 99m Sulfur Colloid / therapeutic use


  • Radiopharmaceuticals
  • Technetium Tc 99m Sulfur Colloid