Early superselective angiography and transarterial embolization for massive bleeding after gastrectomy.
- Author:
Xin-cai QU
1
;
Qi-chang ZHENG
;
Jian-ming YU
;
Xiao-ming LU
;
Shou-xi ZHANG
;
Dao-da CHEN
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Aged, 80 and over; Angiography; methods; Embolization, Therapeutic; methods; Female; Follow-Up Studies; Gastrectomy; adverse effects; Gastrointestinal Hemorrhage; diagnostic imaging; etiology; therapy; Humans; Male; Middle Aged; Postoperative Hemorrhage; diagnostic imaging; etiology; therapy; Retrospective Studies; Treatment Outcome
- From: Chinese Journal of Surgery 2003;41(5):379-381
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVETo evaluate the efficacy of early superselective angiography and embolization in the diagnosis and treatment of massive bleeding after gastrectomy.
METHODSThe clinical data of 28 patients with massive bleeding after surgery from 1980 to 2001 were retrospectively analysed. All patients underwent emergency angiography and 27 of them were treated by transcatheter embolization.
RESULTSBleeding was controlled in 26 of the 28 patients (93%), recurrent bleeding occurred in 1, an recognized bleeding in 1, and abdominal pain in 1. There was no death.
CONCLUSIONSTransarterial embolization for massive bleeding after gastrectomy is safe and effective. It is suggested that early emergency angiography should be considered in all patients with massive gastrointestinal bleeding after gastrectomy.
