Martino A, Di Serafino M, Amitrano L, Orsini L, Pietrini L, Martino R, Menchise A, Pignata L, Romano L, Lombardi G. Role of multidetector computed tomography angiography in non-variceal upper gastrointestinal bleeding: A comprehensive review. World J Gastrointest Endosc 2022; 14(12): 739-747 [PMID: 36567823 DOI: 10.4253/wjge.v14.i12.739]
Corresponding Author of This Article
Alberto Martino, MD, Staff Physician, Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, 9 Via Antonio Cardarelli, Napoli 80131, Italy. albertomartinomd@gmail.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Opinion Review
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Dec 16, 2022; 14(12): 739-747 Published online Dec 16, 2022. doi: 10.4253/wjge.v14.i12.739
Role of multidetector computed tomography angiography in non-variceal upper gastrointestinal bleeding: A comprehensive review
Alberto Martino, Marco Di Serafino, Lucio Amitrano, Luigi Orsini, Lorena Pietrini, Rossana Martino, Antonella Menchise, Luca Pignata, Luigia Romano, Giovanni Lombardi
Alberto Martino, Lucio Amitrano, Luigi Orsini, Lorena Pietrini, Rossana Martino, Antonella Menchise, Giovanni Lombardi, Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Marco Di Serafino, Luigia Romano, Department of General and Emergency Radiology, AORN “Antonio Cardarelli”, Napoli 80131, Italy
Luca Pignata, Department of Clinical Medicine and Surgery, Gastroenterology and Hepatology Unit, University of Naples “Federico II”, Napoli 80131, Italy
Author contributions: Martino A, Di Serafino M, and Amitrano L designed research and wrote, edited, and finalized the text; Martino A, Di Serafino M, Orsini L, Pietrini L, Martino R, Menchise A, and Pignata L performed literature search and analyzed the data; Romano L and Lombardi G reviewed the paper for important intellectual content.
Conflict-of-interest statement: No conflict of interest to declare.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Alberto Martino, MD, Staff Physician, Department of Gastroenterology and Digestive Endoscopy, AORN “Antonio Cardarelli”, 9 Via Antonio Cardarelli, Napoli 80131, Italy. albertomartinomd@gmail.com
Received: September 27, 2022 Peer-review started: September 27, 2022 First decision: October 20, 2022 Revised: October 30, 2022 Accepted: November 9, 2022 Article in press: November 9, 2022 Published online: December 16, 2022
Abstract
Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common gastroenterological emergency associated with significant morbidity and mortality. Upper gastrointestinal endoscopy is currently recommended as the gold standard modality for both diagnosis and treatment, with computed tomography traditionally playing a limited role in the diagnosis of acute NVUGIB. Following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. However, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. The aim of our study was to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.
Core Tip: Upper gastrointestinal endoscopy is currently recommended as the first-line technique for diagnosis and treatment of non-variceal upper gastrointestinal bleeding (NVUGIB). Conversely, computed tomography has a limited role in the diagnosis of acute NVUGIB. However, following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. Nevertheless, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. Our study aimed to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.
