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Letter
Response to the recently published guidelines on lower gastrointestinal bleeding
  1. Samuel Snelling1,
  2. Rania Ghaffar2,
  3. Stephen Thomas Ward1
  1. 1Department of Colorectal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  2. 2Department of Radiology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
  1. Correspondence to Stephen Thomas Ward, Department of Colorectal Surgery, University Hospitals Birmingham NHS Foundation Trust, Birmingham B15 2GW, UK; drsteveward{at}yahoo.com

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In response to the recently published national guideline on lower GI bleeding written by Oakland et al,1 we have audited our practice at the Queen Elizabeth Hospital, Birmingham (QEHB). We were most interested by the general recommendation for CT angiography and for the use of ‘Shock Index’ to select patients for CT angiography, with the aim to identify the source of bleeding.

When retrospectively analysing 4 years of admissions (905) for lower GI bleeding, we found that 74 patients underwent CT angiography, with a total of 91 scans. This 8% rate is higher than the national 5.9%.1

Our most interesting finding was the identification of bleeding points …

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