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Lower gastrointestinal bleeding—Computed Tomographic Angiography, Colonoscopy or both?

Overview of attention for article published in World Journal of Emergency Surgery, January 2017
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37 Mendeley
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Title
Lower gastrointestinal bleeding—Computed Tomographic Angiography, Colonoscopy or both?
Published in
World Journal of Emergency Surgery, January 2017
DOI 10.1186/s13017-016-0112-3
Pubmed ID
Authors

Daniel Clerc, Fabian Grass, Markus Schäfer, Alban Denys, Nicolas Demartines, Martin Hübner

Abstract

Lower endoscopy (LE) is the standard diagnostic modality for lower gastrointestinal bleeding (LGIB). Conversely, computed tomographic angiography (CTA) offers an immediate non-invasive diagnosis visualizing the entire gastrointestinal tract. The aim of this study was to compare these 2 modalities with regards to diagnostic value and bleeding control. Tertiary center retrospective analysis of consecutive patients admitted for LGIB between 2006 and 2012. Comparison of patients with LE vs. CTA as first exam, respectively, with emphasis on diagnostic accuracy and bleeding control. Final analysis included 183 patients; 122 (66.7%) had LE first, while 32 (17.5%) had CTA; 29 (15.8%) had neither of both exams. Median time to CTA was shorter compared to LE (3 (IQR = 8.2) vs. 22 (IQR = 36.9) hours, P < 0.001). Active bleeding was identified in 31% with CTA vs. 15% with LE (P = 0.031); a non-actively bleeding source was found by CTA and LE in 22 vs. 31%, respectively (P = 0.305). Bleeding control required endoscopy in 19%, surgery in 14% and embolization in 1.6%, while 66% were treated conservatively. Post-interventional bleeding was mostly controlled by endoscopic therapy (57%). 80% of patients with active bleeding on CTA required surgery. Post-interventional LGIB was effectively addressed by LE. For other causes of LGIB, CTA was efficient, and more available than colonoscopy. Treatment was conservative for most patients. In case of active bleeding, CTA could localize the bleeding source and predict the need for surgery.

X Demographics

X Demographics

The data shown below were collected from the profiles of 3 X users who shared this research output. Click here to find out more about how the information was compiled.
Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 37 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 37 100%

Demographic breakdown

Readers by professional status Count As %
Other 8 22%
Student > Bachelor 5 14%
Researcher 4 11%
Student > Postgraduate 3 8%
Professor > Associate Professor 3 8%
Other 5 14%
Unknown 9 24%
Readers by discipline Count As %
Medicine and Dentistry 24 65%
Nursing and Health Professions 2 5%
Unknown 11 30%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 2. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 06 January 2017.
All research outputs
#14,304,007
of 22,925,760 outputs
Outputs from World Journal of Emergency Surgery
#263
of 549 outputs
Outputs of similar age
#229,790
of 421,214 outputs
Outputs of similar age from World Journal of Emergency Surgery
#2
of 6 outputs
Altmetric has tracked 22,925,760 research outputs across all sources so far. This one is in the 35th percentile – i.e., 35% of other outputs scored the same or lower than it.
So far Altmetric has tracked 549 research outputs from this source. They typically receive more attention than average, with a mean Attention Score of 8.3. This one is in the 46th percentile – i.e., 46% of its peers scored the same or lower than it.
Older research outputs will score higher simply because they've had more time to accumulate mentions. To account for age we can compare this Altmetric Attention Score to the 421,214 tracked outputs that were published within six weeks on either side of this one in any source. This one is in the 43rd percentile – i.e., 43% of its contemporaries scored the same or lower than it.
We're also able to compare this research output to 6 others from the same source and published within six weeks on either side of this one. This one has scored higher than 4 of them.