Application of preimplanted angiography catheter with digital subtraction angiography for surgical treatment of acute lower gastrointestinal bleeding

VernacularTitle:数字减影血管造影下预置造影导管在急性下消化道大出血手术治疗中的应用
Author: Yankui LI ; Jianqiu CHEN ; Xuedong LI ; Bo CHEN ; Hongmei JIN ; Yisheng WU
Publication Type:Journal Article
Keywords: Angiography,digital subtraction; Gastrointestinal hemorrhage
From: Chinese Journal of General Practitioners 2015;14(7):555-557
CountryChina
Language:Chinese
Abstract: To evaluate the application of preimplanted angiography catheter with digital subtraction angiograply(DSA) for surgical treatment of acute lower gastrointestinal bleeding.Clinical data of 17 patients with acute lower gastrointestinal bleeding admitted from June 2011 to December 2014 were retrospectively reviewed.The angiography catheter was implanted and methylene was injected to find the bleeding sites with DSA,then emergency laparotomy was performed.The results showed the bleeding sites in small intestine in 8 cases and in large intestine in 9 cases.Postoperative pathology revealed vascular malformation in 4 cases,2 in small intestine and 2 in colon;ulcerative colitis in 3 cases;colon cancer in 1 case;colonic diverticula in 3 cases and small intestinal stromal tumor in 6 cases.Results indicate that if the conservative therapy is not effective,surgical treatment assisted by preimplanted angiography catheter with DSA is safe and effective for patients with lower gastrointestinal bleeding.