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Dergiler / Molecular Imaging and Radionuclide Therapy / 2021 / Cilt: 30 - Sayı: 1

The Diagnostic Contribution of SPECT/CT Imaging in the Assessment of Gastrointestinal Bleeding: Especially for Previously Operated Patients

Gastrointestinal Kanama Yeri Değerlendirilmesinde SPECT/BT’nin Tanısal Yeteneği ve Katkısı: Özellikle Ameliyat Öyküsü Bulunan Hastalarda

Selin SOYLUOĞLU
Ulku KORKMAZ
Büşra ÖZDEMİR
Gülay DURMUŞ ALTUN
Sayfa
8–17
DOI
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Therefore, for proper patient management, SPECT/CT should be applied to detect the bleeding focus, if present, especially in patients who had undergone a previous operation.

📌 3 Maddede Bu Makale

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Amaç & Hipotez:Objectives: Gastrointestinal bleeding (GIB) is a life-threatening problem that requires a multidisciplinary approach for successful treatment.
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Temel Bulgular & Veri:Methods: All 14 patients referred to the nuclear medicine department in 3 years with suspicion of acute GIB were evaluated retrospectively.
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Sonuç & Katkı:Therefore, for proper patient management, SPECT/CT should be applied to detect the bleeding focus, if present, especially in patients who had undergone a previous operation.
🔬Tür:Araştırma Makalesi
📍Kapsam:Genişletilmiş Akademik Örneklem
⚙️Değişkenler:Alan Parametreleri

Özet

Objectives: Gastrointestinal bleeding (GIB) is a life-threatening problem that requires a multidisciplinary approach for successful treatment. This study aims to emphasize the clinical contribution of single photon emission computed tomography/computed tomography (SPECT/CT) for the diagnosis of acute bleeding. Methods: All 14 patients referred to the nuclear medicine department in 3 years with suspicion of acute GIB were evaluated retrospectively. Clinical records were analyzed to assess the scintigraphic findings, emphasizing the correlative contribution of the CT portion on SPECT/CT studies. Results: Five patients were negative on dynamic and static planar images. SPECT/CT was performed in 9 patients who had positive findings on planar imaging. SPECT/CT could identify the same bleeding site originating from the anastomosis in four patients with a history of abdominal surgery. SPECT/CT confirmed bleeding from the cecum in a patient with cervical cancer. SPECT/CT showed the bleeding focus in the bladder neck of a patient with bladder cancer and the bleeding from peritoneal metastases of a patient with gastric cancer. In 1 patient, the right upper quadrant activity accumulation, which may cause false positives, was found to be the gallbladder on SPECT/CT. Delayed images showed the true bleeding focus in the cecum. In 1 patient, suspicious activity accumulation in the midline of the abdomen was found to be due to a previously unknown aortic aneurysm on SPECT/CT. Conclusion: SPECT/CT imaging is a feasible technique to facilitate image interpretation in patients with GIB. SPECT/CT imaging can guide the surgeon through more accurate localization. Therefore, for proper patient management, SPECT/CT should be applied to detect the bleeding focus, if present, especially in patients who had undergone a previous operation.

Abstract

Amaç: Gastrointestinal kanama (GİK), başarılı bir tedavi için multidisipliner yaklaşım gerektiren hayati önemde bir sorundur. Çalışmamızda akut kanama tanısında tek foton emisyonlu bilgisayarlı tomografi/bilgisayarlı tomografinin (SPECT/BT) klinik katkısını vurgulamayı amaçladık. Yöntem: Üç yıllık bir dönemde akut GİK şüphesi ile nükleer tıp bölümüne başvuran 14 hastanın tümü retrospektif olarak incelendi. Sintigrafik bulguları, SPECT/BT çalışmalarında BT kısmının korelatif katkısına vurgu yaparak değerlendirebilmek için klinik kayıtlar analiz edildi. Bulgular: Beş hastanın dinamik ve statik görüntüleme bulguları negatifti. Planar görüntülerde pozitif bulguları olan 9 hastaya SPECT/BT yapıldı. SPECT/BT, abdominal cerrahi öyküsü olan dört hastada anastomozdan kaynaklanan kanama yerini tam olarak gösterdi. Serviks kanseri tanılı bir hastada çekumdan kanama gösterildi. SPECT/BT, mesane kanseri olan bir hastanın primer tümörünün arka duvarından kaynaklanan kanama

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Bu Makaleye Atıf Yap

SOYLUOĞLU, S., KORKMAZ, U., ÖZDEMİR, B., ALTUN, G. D. (2021). The Diagnostic Contribution of SPECT/CT Imaging in the Assessment of Gastrointestinal Bleeding: Especially for Previously Operated Patients. Molecular Imaging and Radionuclide Therapy, Cilt: 30 - Sayı: 1, 8–17. https://ajindex.com/articles/295019

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Kaynakça (14)

  1. Rollandi LP, Kasper J, Schaller T. Seltene Ursache einer gastrointestinalen Blutung [Rare cause of gastrointestinal bleeding]. Dtsch Med Wochenschr 2019; 144:1505-1508
  2. Yilmaz S, Dursun M, Canoruç F, Bayan K, Büyükbayram H. Upper gastrointestinal bleeding caused by small-cell lung cancer: a case report. Dig Dis Sci 2006;51:788-790
  3. Hoekstra E, van den Berg MW, Veenendaal RA, Stuyt R. The natural progression of a fistulizing gallstone resulting in massive gastrointestinal hemorrhage and Bouveret syndrome, a rare case. Clin J Gastroenterol 2020; 13: 393-396
  4. Henderson L, Nour S, Dagash H. Heterotopic Pancreas: A Rare Cause of Gastrointestinal Bleeding in Children. Dig Dis Sci 2018;63:1363-1365
  5. Borum ML. Cavernous colorectal hemangioma: a rare cause of lower gastrointestinal bleeding and a review of the literatüre. Dig Dis Sci 1997;42:2468-2470
  6. Al Qahtani AR, Satin R, Stern J, Gordon PH. Investigative modalities for massive lower gastrointestinal bleeding. World J Surg 2002;26:620-625
  7. Winzelberg GG, McKusick KA, Froelich JW, Callahan RJ, Strauss HW. Detection of gastrointestinal bleeding with 99mTc-labeled red blood cells. Semin Nucl Med 1982;12:139-146
  8. Dam HQ, Brandon DC, Grantham VV, Hilson AJ, Howarth DM, Maurer AH, Stabin MG, Tulchinsky M, Ziessman HA, Zuckier LS. The SNMMI procedure standard/EANM practice guideline for gastrointestinal bleeding scintigraphy. 2.0. J Nucl Med Technol 2014;42:308-317
  9. Jacene HA, Goetze S, Patel H, Wahl RL, Ziessman HA. Advantages of Hybrid SPECT/CT vs SPECT Alone. The Open Medical Imaging Journal 2008;2:67-79
  10. Schillaci O, Spanu A, Tagliabue L, Filippi L, Danieli R, Palumbo B, Del Sole A, Madeddu G. SPECT/CT with a hybrid imaging system in the study of lower gastrointestinal bleeding with technetium-99m red blood cells. Q J Nucl Med Mol Imaging 2009;53:281-289
  11. Acquafresca PA, Palermo M, Rogula T, Duza GE, Serra E. Early surgical complications after gastric by-pass: a literature review. Arq Bras Cir Dig 2015; 28:74-80
  12. Martínez-Serrano MA, Parés D, Pera M, Pascual M, Courtier R, Egea MJ, Grande L. Management of lower gastrointestinal bleeding after colorectal resection and stapled anastomosis. Tech Coloproctol 2009;13:49-53
  13. Kotani K, Kawabe J, Higashiyama S, Yoshida A, Kawamura E, Kawahata H, Yamanaga T, Katayama Y, Shiomi S. Diagnostic ability of (99m)Tc-HSADTPA scintigraphy in combination with SPECT/CT for gastrointestinal bleeding. Abdom Imaging 2014;39:677-684
  14. Gonzale