u/Gamma_Mermaid

Upper GI bleed scan success?

As the title states- looking for success stories or just general info on tagged RBC scans for upper bleeds.

Recently did a scan looking for upper GI bleed. I was very (possibly naively) hopeful to locate it because of apparently persistent and significant blood loss. But we didn’t see the bleed per confirmation by radiologist.

Obviously, the care team tried all other methods of locating it first without success before I scanned the patient. The spleen and liver uptake are just so intense despite doing everything possible to minimize damage to the RBCs and avoid excess spleen uptake. Could the bleed have been essentially hiding within the intense uptake of the liver/spleen in that upper GI zone? That’s what I wonder and worry and feel like this was potentially such a long shot.

Just curious if anyone here has experience with the upper bleeds and any insights/tips/reports of success because this was the 1st time in 9 yrs I have done a GI bleed for suspected upper bleed rather than a lower. Thanks so much.

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u/Gamma_Mermaid — 6 days ago