Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding.
10.3348/kjr.2012.13.S1.S31
- Author:
Ji Hoon SHIN
1
Author Information
1. Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, Korea. jhshin@amc.seoul.kr
- Publication Type:Review
- Keywords:
Upper gastrointestinal tract bleeding;
Embolization;
Embolic materials
- MeSH:
Angiography;
Embolization, Therapeutic/*methods;
Endoscopy, Gastrointestinal;
Gastrointestinal Hemorrhage/etiology/*therapy;
Hemostasis, Endoscopic;
Humans;
*Upper Gastrointestinal Tract
- From:Korean Journal of Radiology
2012;13(Suppl 1):S31-S39
- CountryRepublic of Korea
- Language:English
-
Abstract:
Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.