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World Journal of Advance Healthcare Research (WJAHR)Honored the authors with best paper award, monthly based on the innovation of research work. Best paper will be selected by our expert panel.
Best Article of current issue
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DIGESTIVE HAEMORRHAGE: PLACE OF SCINTIGRAPHY COUPLED WITH TECHNICIUM 99
Jiddi S.*, Jellal S., Lmfadli Y., Bouchrit S., Ait Errami A., Samlani Z., Oubaha S. and Krati K.
The acute gastrointestinal bleeding is associated with a high mortality risk.Thecause of the bleeding is usually identified with an upper gastrointestinal endoscopy and a colonoscopy. Rarely, the etiology of hemorrhage is obscure and not found by endoscopy. The purpose of this work is to evaluate the contribution of single-photon emission computed tomography (SPECT)/CT) in the diagnosis and management of obscure gastrointestinal bleeding, based on a clinical case of a64-year-old patient, presenting with melaenas 10 days prior to her admission, requiring multiple blood transfusions. An upper gastrointestinal endoscopy, a colonoscopy, a capsule endoscopy and an abdominal angio-scan, did not found any active origin of the bleeding. The Tc99m red blood cells scintigraphy showed an active bleeding in the left hypochondrium. The SPECT/CT confirmed the diagnosis and guided the treatment by electrocoagulation. The Tc99m red blood cells scintigraphy is a useful diagnostic tool in objectifying a gastrointestinal bleeding without being able to specify its exact anatomical localization. The Hybrid SPECT/CT imaging can overcome this challenge. This diagnostictool has taken a prominent position as it is non-invasive, easy to perform and able to detect intermittent bleeding.[Full Text Article] [Download Certificate]