Emergency gastric vein embolization for the treatment of acute esophageal and gastric variceal bleeding:analysis of its short-term and long-term efficacy
10.3969/j.issn.1008-794X.2025.08.011
- VernacularTitle:急诊胃静脉栓塞术治疗急性食管胃底静脉曲张破裂出血的近期及长期疗效分析
- Author:
Kaili ZOU
1
;
Guanwu WANG
;
Wenjun LI
;
Mingxin KONG
;
Shiwei TANG
Author Information
1. 261000 山东潍坊 潍坊市人民医院(山东第二医科大学第一附属医院)药剂科
- Keywords:
emergency;
gastric vein embolization;
esophageal and gastric variceal bleeding;
portal hypertension
- From:
Journal of Interventional Radiology
2025;34(8):860-865
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the clinical safety and effect of emergency gastric vein embolization(GVE)in the treatment of acute esophageal and gastric variceal bleeding(EGVB).Methods The clinical data of 72 patients with acute EGVB,who received emergency GVE at the authors' hospital from January 2018 to December 2021,were retrospectively analyzed.No TIPS,endoscopic ligature,injection of sclerosing agent,or surgery was performed in all the patients before and after GVE.The observation indicators included surgical success rate,serious complications,success rate of hemostasis,hospital stay and cost,incidence of rebleeding,and mortality of rebleeding.The endpoint of the study was the occurrence of rebleeding or death.Results In this study,the surgical success rate was 98.6％and the hemostasis success rate was 91.7％,with no serious complications.Except for 10 patients who died during hospitalization,the average hospitalization time of the 62 patients who were discharged with significant improvement in health condition was 9 days,the average hospitalization cost was 38 000 Chinese Yuan.Of the 62 patients,emergency GVE after admission was directly carried out in 36(group A),and emergency GVE was adopted after failure of the conservative treatment in 26(group B).The hospital stay in group A was shorter than that in group B,but the hospitalization costs in group A and group B were similar.In the 62 patients,the incidence of rebleeding was 37.1％within one year and 53.2％within 2 years after the treatment.The incidences of death due to rebleeding at one year and 2 years were all 14.5％.Conclusion For the treatment of acute EGBV,emergency GVE is clinically safe and effective.Early GVE treatment can reduce the risk of death and the medical cost.Therefore,GVE should be regarded as one of the conventional treatment methods for acute EGBV.The incidence of rebleeding after GVE is relatively high.GVE combined with endoscopic therapy may reduce the incidence of rebleeding,but it requires further studies to verify it.
