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Old 05-11-2013
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GIT Bleed Scan

Getting mixed information on this if anyone can help me out.

Bleed Scan would be a better answer choice than angio with any degree of bleeding above 1/2cc? Less than 1/2cc colonoscopy to be done (if not found then can use either Bleed scan > capsule colonoscopy?) Would this be correct?
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Old 05-11-2013
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This is what I know
There r 2 ways to go after hemorrhoids have been excluded
If bleeding is greater than 2ml per minute do an angiogram ,very fine chance of finding the source and finally angiographic embolization ,if bleeding is less than 0.5ml /minute,wait until the bleeding stops,then do colonoscopy ,(capsule endoscope is for small intestinal bleeding,)
For the cases in between 0.5 and 2ml/ minute,go for tagged red blood cell study,if the tagged red blood cells puddles somewhere,angiography may be productive,,but the problem with tagged red blood cell study is that it's a slow test. Source is kaplan
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Old 05-11-2013
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< 0.5 cc ---wait n do colonoscopy(if not able to find---ya capsule endo is a good choice)
0.5-2 cc---do bleed scan
>2cc-----do arteriography


hope it helps
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PassIton (06-15-2013), radkur (05-14-2013), rupesh (05-12-2013), salman (05-11-2013)


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