Essentials of GI Imaging (2024)-MSES5220-2024

Video Transcription

Video Summary

Dr. Olga Brook's presentation at Beth Israel Dickens Medical Center covered the assessment and management of lower GI bleeding, focusing on the appropriate use of imaging techniques. She emphasized the crucial role of computed tomography angiography (CTA) in high-risk patients who remain hemodynamically unstable after initial resuscitation and are not suitable for colonoscopy preparation. The presentation detailed the common causes of lower GI bleeding, such as diverticular disease, and potential scenarios necessitating the use of angiography, CTA, or alternative imaging methods like a TAGBRA-BC scan. Dr. Brook highlighted the significance of specific imaging protocol phases to identify and characterize bleeds accurately. Additionally, cases illustrating various bleeding scenarios and their management were discussed to better understand the decision-making process in clinical practice. Colonoscopy, with appropriate preparation, remains the preferred diagnostic and therapeutic approach for most lower GI bleeding cases. <br /><br />The presentation underscored the importance of individualized patient assessment and the judicious application of different imaging modalities to effectively manage lower GI bleeding, considering the unique risks and benefits of each approach in different clinical contexts.

Keywords

lower GI bleeding

computed tomography angiography

imaging techniques

diverticular disease

colonoscopy

patient assessment

Beth Israel Dickens Medical Center

Dr. Olga Brook