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Multidisciplinary approach to refractory upper gastrointestinal bleeding: Case series of angiographic embolization

Title
Multidisciplinary approach to refractory upper gastrointestinal bleeding: Case series of angiographic embolization
Authors
Lee K.E.Shim K.-N.Tae C.H.Ryu M.S.Choi S.Y.Moon C.M.Kim S.-E.Jung H.-K.Jung S.-A.
Ewha Authors
정성애정혜경심기남김성은최선영문창모
SCOPUS Author ID
정성애scopus; 정혜경scopus; 심기남scopus; 김성은scopus; 최선영scopus; 문창모scopus
Issue Date
2017
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 32, no. 9, pp. 1552 - 1557
Keywords
AngiographyEmbolizationEndoscopic hemostasisGastrointestinal hemorrhage
Publisher
Korean Academy of Medical Science
Indexed
SCI; SCIE; SCOPUS; KCI scopus
Abstract
Although medical and endoscopic hemostasis is now considered as the first-line therapy for nonvariceal upper gastrointestinal (UGI) bleeding, refractory bleeding still occurs in 5%-10% of the patients. In these patients, transcatheter arterial embolization (TAE) or surgery is required, but research on embolization for unmanageable UGI bleeding in Korea is scanty. We reviewed the medical records of 518 patients who underwent endoscopic hemostasis during 4 years. Among these subjects, 8 patients who required embolization due to failure of endoscopic hemostasis were enrolled. Mean patient age was 74.00 ± 8.25 years, and rebleeding occurred in 4 patients within 48 hours after TAE. Three patients with duodenal rebleeding underwent surgery, and the other patient with a gastric ulcer underwent endoscopic hemostasis. Nonvariceal UGI bleeding remains a serious clinical challenge, especially in older patients. A multidisciplinary approach including endoscopists, interventional radiologists, and surgeons may be important for the treatment of nonvariceal UGI bleeding. © 2017 The Korean Academy of Medical Sciences.
DOI
10.3346/jkms.2017.32.9.1552
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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