Last reviewed: November 2017
Last updated: August  2017

Summary

Definition

History and exam

Other diagnostic factors

  • age >60 years
  • SOB
  • fatigue
  • weakness
  • pallor
  • tachycardia
  • hypotension

Risk factors

  • end-stage renal disease
  • von Willebrand disease
  • aortic stenosis
  • scleroderma

Diagnostic investigations

1st investigations to order

  • CBC
  • blood type and cross-match
  • blood chemistry
  • EGD
  • colonoscopy
  • fecal occult blood
Full details

Investigations to consider

  • selective mesenteric angiography
  • technetium Tc-99m radionuclide scan
  • wireless capsule enteroscopy
Full details

Emerging tests

  • push enteroscopy
  • multidetector helical CT with intra-arterial contrast
  • MRI with intravascular contrast
Full details

Treatment algorithm

Contributors

Authors VIEW ALL

Consultant Interventional Radiologist

Maidstone and Tunbridge Wells NHS Trust

Kent

UK

Disclosures

AS declares that he has no competing interests.

Clinical radiology specialist registrar

Radiology

Maidstone and Tunbridge Wells NHS Trust

Maidstone

UK

Disclosures

HL declares that she has no competing interests.

Dr Aidan Shaw and Dr Heather Lee would like to gratefully acknowledge Dr William Speake, a previous contributor to this monograph. WS declares that he has no competing interests.

Peer reviewers VIEW ALL

Assistant Professor

Department of Surgery

University of Chicago

Chicago

IL

Disclosures

AF declares that he has no competing interests.

Associate Professor of Pediatric Surgery

University of Pittsburgh School of Medicine

Pittsburgh

PA

Disclosures

DJH declares that he has no competing interests.

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