J Korean Radiol Soc.  1994 Aug;31(2):243-249.

Angiographic Diagnosis for Various Causes of Gastrointestinal Bleeding

• Chung JW
• Park JH
• Jung HW
• Kim TK

Abstract

PURPOSE
To evaluate the specific findings of angiography for various causes of gastrointestinal bleeding.
MATERIALS AND METHODS
We retrospectively analyzed 35 patients of gastrointestinal bleeding detected by angiography, between April 1987 and July 1993. There were 28 men and 7 women, 19 to 83 years old (mean, 47 years). Of these 35 cases of gastrointestinal bleedings, there were 12 gastric bleedings, 4 duodenal bleedings, 9 small intestinal bleeings, 6 ileocecal bleedings, and 4 large intestinal bleedings.
RESULTS
Of 35 cases, we could diagnose the specific cause of bleeing in 13 patients (37%) by angiography. Of these 13 cases, there were 4 cases of gastric ulcers showing contrast pooling in ulcer crater, 5 cases of vascular malformations showing anomalous vascular mass with early dilated venous drainage, 2 cases of direct invasion of hepatocellular carcinoma showing invasion of hypervascular mass into small bowel, one case of pseudoaneurysm at gastroduodenal artery in a patient of acute pancreatitis, and one case of small intestinal lymphoma showing contrast pooling in a irregular dilated small intestinal lumen.
CONCLUSION
in gastrointestinal bleeding, angiography is useful not only in detecting the bleeding site, but also for evaluating the specific causes such as gastric ulcers or vascular malformations.

MeSH Terms

Aged, 80 and over
Aneurysm, False
Angiography
Arteries
Carcinoma, Hepatocellular
Diagnosis*
Drainage
Female
Hemorrhage*
Humans
Lymphoma
Male
Pancreatitis
Retrospective Studies
Stomach Ulcer
Ulcer
Vascular Malformations