Acute Lower GI Bleeding - Management and Risk Stratification

Send us Fan MailIn the management of acute lower gastrointestinal bleeding (LGIB), CT angiography (CTA) is preferred over colonoscopy in the following specific clinical scenarios:Haemodynamic Instability: CTA is recommended for patients who remain haemodynamically unstable or have a shock index >1 (heart rate divided by systolic blood pressure) after initial resuscitation.Ongoing Active Bleeding: It is the preferred initial investigation when there is suspected ongoing, active bleeding, such as the continued passage of large clots or a rising transfusion requirement.Brisk Bleeding: CTA is indicated when bleeding is too brisk to allow for a safe colonoscopy or when the severity of the hemorrhage makes bowel preparation unfeasible.Failed Colonoscopy: If a prior colonoscopy has failed to identify or treat the source of the bleeding, CTA is used as the next diagnostic step to localise the site.Listen in to explore more. Don’t forget to check out out YouTube and Facebook page to enjoy more engaging contents. DISCLAIMER: This content is for reference only and you must follow local/standard guidelines in clinical practiceLike, share and subscribe.  Support the showQuick discussion and review of topics that interests you.