Commentary

Abstract

Acute gastrointestinal haemorrhage is an acute emergency. Identification of the source is vital to the appropriate management of this condition. Traditionally upper and lower GI endoscopy and red cell labeled nuclear medicine scans are used to find the source. This approach often fails and the next step then is conventional angiography. The availability of this technique is severely limited. With the advent of multi detector row Computerised tomography, another tool has been added to this mix. Several studies have demonstrated the efficacy of MDCT angiography in this situation. Stiener et al reinforce this and draw attention to the need for being meticulous.