ARTHUR D. SHIFF, M.D.; VLADIMIR GRNJA, M.D.; DANA J. OSBORN, M.D.; HOWARD M. SPIRO, M.D., F.A.C.P.
We reviewed the charts of 226 patients who underwent diagnostic abdominal arteriography to determine when the procedure was most helpful in the delineation of gastrointestinal disorders. Gastrointestinal bleeding was the prime indication for abdominal angiography, to distinguish among several potential sites of massive bleeding or to locate a previously unknown site of chronic bleeding. In its venous phase, angiography gave information about the patency of the portal vein or portacaval shunt. In abdominal trauma angiography gave useful information about splenic or hepatic rupture. Abdominal angiography was of much less clinical value in the evaluation of patients with nonspecific abdominal pain or with suspected pancreatic cancer. Although hepatic angiography often clarified the nature of filling defects seen on hepatic scan, it missed many small lesions. It was of little value in patients with abdominal masses other than aneurysm.
SHIFF AD, GRNJA V, OSBORN DJ, SPIRO HM. Angiography in the Diagnosis of Gastrointestinal Diseases. Ann Intern Med. ;77:731–740. doi: 10.7326/0003-4819-77-5-731
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Published: Ann Intern Med. 1972;77(5):731-740.
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