Vascular embolization for acute non-variceal upper gastrointestinal rebleeding after conventional endoscopic hemostasis
10.3760/cma.j.cn321463-20210623-00402
- VernacularTitle:急性非静脉曲张性上消化道出血常规内镜下止血后再出血的血管栓塞术治疗价值
- Author:
Mei XIAO
1
;
Yong JIA
;
Banghai ZHENG
;
Si CHEN
;
Chao XU
;
Huiqun WANG
Author Information
1. 中国科学技术大学附属第一医院消化内科，合肥 230001
- Keywords:
Hemostasis, endoscopic;
Acute non-variceal upper gastrointestinal bleeding;
Rebleeding;
Endoscopic vascular embolization
- From:
Chinese Journal of Digestive Endoscopy
2022;39(7):575-578
- CountryChina
- Language:Chinese
-
Abstract:
From April 2017 to June 2020, 46 patients with acute non-variceal upper gastrointestinal bleeding (ANVUGIB) underwent endoscopic vascular embolization (EVE) in the Department of Gastroenterology of the First Affiliated Hospital of University of Science and Technology of China for rebleeding after endoscopic hemostasis therapy (including local drug injection, electrocoagulation, hemostatic clamp and ligation, etc.). All 46 patients immediately stopped bleeding after EVE, and the effective rate of immediate hemostasis was 100.0%. Postoperative abdominal pain occurred in 13 cases (28.3%), abdominal distension in 3 cases (6.5%) and fever in 2 cases (4.3%). The mucosa healed gradually under gastroscopy 3 and 12 months after the operation. No gastrointestinal rebleeding occurred during the follow-up. Therefore, EVE is a safe and effective method for ANVUGIB patients with failure of initial endoscopic hemostasis, which is worthy of further clinical study and application.
