Published online Dec 16, 2022. doi: 10.4253/wjge.v14.i12.739
Peer-review started: September 27, 2022
First decision: October 20, 2022
Revised: October 30, 2022
Accepted: November 9, 2022
Article in press: November 9, 2022
Published online: December 16, 2022
Processing time: 77 Days and 11.5 Hours
Non-variceal upper gastrointestinal bleeding (NVUGIB) is a common gastroenterological emergency associated with significant morbidity and mortality. Upper gastrointestinal endoscopy is currently recommended as the gold standard modality for both diagnosis and treatment, with computed tomography traditionally playing a limited role in the diagnosis of acute NVUGIB. Following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. However, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. The aim of our study was to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.
Core Tip: Upper gastrointestinal endoscopy is currently recommended as the first-line technique for diagnosis and treatment of non-variceal upper gastrointestinal bleeding (NVUGIB). Conversely, computed tomography has a limited role in the diagnosis of acute NVUGIB. However, following the introduction of multidetector computed tomography (MDCT), this modality is emerging as a promising tool in the diagnosis of NVUGIB. Nevertheless, to date, evidence concerning the role of MDCT in the NVUGIB diagnosis is still lacking. Our study aimed to review the current evidence concerning the role of MDCT in the diagnosis of acute NVUGIB.