Use of CT enterography for the diagnosis of lower gastrointestinal bleeding in pediatric patients

James S. Davis; Mark L. Ryan; Jonathan M. Fields; Holly L. Neville; Eduardo A. Perez; Juan E. Sola

doi:10.1016/j.jpedsurg.2013.01.002

Use of CT enterography for the diagnosis of lower gastrointestinal bleeding in pediatric patients

James S. Davis, Mark L. Ryan, Jonathan M. Fields, Holly L. Neville, Eduardo A. Perez, Juan E. Sola

Research output: Contribution to journal › Article › peer-review

7 Scopus citations

Abstract

Diagnosis of lower gastrointestinal bleeding (LGIB) represents a significant diagnostic and therapeutic challenge for any physician. While CT enterography (CTE) has been applied in adults with occult LGIB, its use in children has been limited to evaluation of Crohn's disease. We reviewed 6 patients ages 4-15 who underwent CTE for LGIB at a tertiary pediatric institution. In sum, CTE appears to be a valuable tool for localizing the source of LGIB prior to surgical or endoscopic intervention. However, rapid lesion identification must be weighed against the increased radiation exposure and patient discomfort due to bowel distention associated with this diagnostic technique.

Original language	English (US)
Pages (from-to)	681-684
Number of pages	4
Journal	Journal of Pediatric Surgery
Volume	48
Issue number	3
DOIs	https://doi.org/10.1016/j.jpedsurg.2013.01.002
State	Published - Mar 2013
Externally published	Yes

Keywords

CT enterography
Colography
Gastrointestinal bleeding
Pediatrics

ASJC Scopus subject areas

Surgery
Pediatrics, Perinatology, and Child Health

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10.1016/j.jpedsurg.2013.01.002

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title = "Use of CT enterography for the diagnosis of lower gastrointestinal bleeding in pediatric patients",

abstract = "Diagnosis of lower gastrointestinal bleeding (LGIB) represents a significant diagnostic and therapeutic challenge for any physician. While CT enterography (CTE) has been applied in adults with occult LGIB, its use in children has been limited to evaluation of Crohn's disease. We reviewed 6 patients ages 4-15 who underwent CTE for LGIB at a tertiary pediatric institution. In sum, CTE appears to be a valuable tool for localizing the source of LGIB prior to surgical or endoscopic intervention. However, rapid lesion identification must be weighed against the increased radiation exposure and patient discomfort due to bowel distention associated with this diagnostic technique.",

keywords = "CT enterography, Colography, Gastrointestinal bleeding, Pediatrics",

author = "Davis, {James S.} and Ryan, {Mark L.} and Fields, {Jonathan M.} and Neville, {Holly L.} and Perez, {Eduardo A.} and Sola, {Juan E.}",

year = "2013",

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T1 - Use of CT enterography for the diagnosis of lower gastrointestinal bleeding in pediatric patients

AU - Davis, James S.

AU - Ryan, Mark L.

AU - Fields, Jonathan M.

AU - Neville, Holly L.

AU - Perez, Eduardo A.

AU - Sola, Juan E.

PY - 2013/3

Y1 - 2013/3

N2 - Diagnosis of lower gastrointestinal bleeding (LGIB) represents a significant diagnostic and therapeutic challenge for any physician. While CT enterography (CTE) has been applied in adults with occult LGIB, its use in children has been limited to evaluation of Crohn's disease. We reviewed 6 patients ages 4-15 who underwent CTE for LGIB at a tertiary pediatric institution. In sum, CTE appears to be a valuable tool for localizing the source of LGIB prior to surgical or endoscopic intervention. However, rapid lesion identification must be weighed against the increased radiation exposure and patient discomfort due to bowel distention associated with this diagnostic technique.

AB - Diagnosis of lower gastrointestinal bleeding (LGIB) represents a significant diagnostic and therapeutic challenge for any physician. While CT enterography (CTE) has been applied in adults with occult LGIB, its use in children has been limited to evaluation of Crohn's disease. We reviewed 6 patients ages 4-15 who underwent CTE for LGIB at a tertiary pediatric institution. In sum, CTE appears to be a valuable tool for localizing the source of LGIB prior to surgical or endoscopic intervention. However, rapid lesion identification must be weighed against the increased radiation exposure and patient discomfort due to bowel distention associated with this diagnostic technique.

KW - CT enterography

KW - Colography

KW - Gastrointestinal bleeding

KW - Pediatrics

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Use of CT enterography for the diagnosis of lower gastrointestinal bleeding in pediatric patients

Abstract

Keywords

ASJC Scopus subject areas

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