Safety and efficacy of transcatheter arterial angiography and embolization for endoscopic refractory gastrointestinal bleeding
10.13929/j.1672-8475.201701027
- VernacularTitle:内镜难治性胃肠道出血介入诊疗的安全性和有效性
- Author:
Kun MA
;
Shanfeng GUO
;
Ding LIANG
;
Wengui LIU
;
Yuanchao ZHANG
;
Zhengjun LI
;
Youjin WANG
;
Xianglei SHEN
- Keywords:
Gastrointestinal hemorrhage;
Endoscopy;
Angiography;
Embolization,therapeutic
- From:
Chinese Journal of Interventional Imaging and Therapy
2017;14(7):408-411
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the diagnostic and therapeutic value and safety of transcatheter arterial angiography and embolization in patients with endoscopic refractory gastrointestinal bleeding.Methods Thirty-one cases of endoscopic refractory gastrointestinal bleeding were performed DSA and treated with transcatheter arterial angiography and embolization.The safty and efficacy was evaluated.Results Angiographic positive rate of bleeding was 80.65％ (25/31);28 cases was treated with embolization.The success rate of first embolization was 75.00％ (21/28),and the total success rate was 82.14 ％ (23/28) by the second embolization.Seven patients received surgical resection after interventional therapy,including 2 cases of jejunal stromal tumors and 5 cases of gastric malignant tumors.Four cases of gastric cancer patients underwent rebleeding within 30 days after interventional therapy,of which 2 died of heart or lung function failure due to basic diseases.Except for 1 patient of anastomotic bleeding after gastrointestinal anastomosis occurred anastomotic fistula after embolization,who recovery with the support treatment,no other cases occurred serious gastrointestinal ischemic necrosis.Conclusion Interventional diagnosis and treatment for gastrointestinal bleeding hemostasis is effective and safety,and also can achieve good results especially for malignant gastric tumor hemorrhage,which can be used for endoscopic refractory gastrointestinal bleeding patients.
