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However, in certain cases, OGD may be inconclusive and therefore in those with ongoing melena, further investigations are required: CT angiogram can be useful in assessing for any active bleeding, especially in those with suspected ongoing bleeding and / or haemodynamic compromise Colonoscopy should be performed, especially those who are haemodynamically stable, to ensure that the cause of the melena is not actually proximal colonic in origin (e.g

[laughs] Gordon: Hmm

PMCID: PMC3320867