Refractory Gastrointestinal Bleeding: Role of Angiographic Intervention.
- Author:
Ji Hoon SHIN
1
Author Information
1. Depatment of Radiology, Asan Medical Center, University of Ulsan College of Medicine, Seoul, Korea. jhshin@amc.seoul.kr
- Publication Type:Review
- Keywords:
Gastrointestinal tract;
Hemorrhage;
Embolization
- MeSH:
Gastrointestinal Tract;
Hemorrhage;
Hemostasis, Endoscopic;
Humans
- From:Clinical Endoscopy
2013;46(5):486-491
- CountryRepublic of Korea
- Language:English
-
Abstract:
Although endoscopic hemostasis remains initial treatment modality for nonvariceal gastrointestinal (GI) bleeding, severe bleeding despite endoscopic management occurs in 5% to 10% of the patients, requiring surgery or transcatheter arterial embolization (TAE). TAE is now considered the first-line therapy for massive GI bleeding refractory to endoscopic management. GI endoscopists need to be familiar with indications, principles, outcomes, and complications of TAE, as well as embolic materials available.