Endovascular treatment of nonvariceal acute arterial upper gastrointestinal bleeding

Transcatheter arterial embolization as treatment of upper nonvariceal gastrointestinal bleeding is increasingly being used after failed primary endoscopic treatment.The results after embolization have become better and surgery still has a high mortality.Embolization is a safe and effective procedure...

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Published inWorld journal of radiology Vol. 2; no. 7; pp. 257 - 261
Main Authors Andersen, Poul Erik, Duvnjak, Stevo
Format Journal Article
LanguageEnglish
Published United States Baishideng Publishing Group Co., Limited 28.07.2010
Subjects
Embolization
Endoscopy
Gastrointestinal
hemorrhage
Review
tract
Upper
Embolization
Endoscopy
Gastrointestinal
Gastrointestinal hemorrhage
Upper gastrointestinal tract
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Summary:Transcatheter arterial embolization as treatment of upper nonvariceal gastrointestinal bleeding is increasingly being used after failed primary endoscopic treatment.The results after embolization have become better and surgery still has a high mortality.Embolization is a safe and effective procedure,but its use is has been limited because of relatively high rates of rebleeding and high mortality,both of which are associated with gastrointestinal bleeding and non-gastrointestinal related mortality causes.Transcatheter arterial embolization is a valuable minimal invasive method in the treatment of early rebleeding and does not involve a high risk of treatment associated complications.A multidisciplinary approach is necessary in the treatment of these patients and should comprise gastroenterologists,interventional radiologists,anaesthesiologists,and surgeons to achieve the best possible results.
Bibliography:Poul Erik Andersen,Stevo Duvnjak,Department of Radiology,Odense University Hospital,Sdr.Boulevard,DK-5000 Odense C,Denmark
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Telephone: +45-65412188 Fax: +45-65907244
Correspondence to: Poul Erik Andersen, MD, PhD, Department of Radiology, Odense University Hospital, Sdr. Boulevard, DK-5000 Odense C, Denmark. anders1@dadlnet.dk
Author contributions: Andersen PE and Duvnjak S were both responsible for the review of the literature and the preparation of the paper.
ISSN:1949-8470
1949-8470
DOI:10.4329/wjr.v2.i7.257