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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
- 정성애; 정혜경; 심기남; 김성은; 최선영; 문창모
- SCOPUS Author ID
- 정성애; 정혜경; 심기남; 김성은; 최선영; 문창모
- Issue Date
- 2017
- Journal Title
- Journal of Korean Medical Science
- ISSN
- 1011-8934
- Citation
- Journal of Korean Medical Science vol. 32, no. 9, pp. 1552 - 1557
- Keywords
- Angiography; Embolization; Endoscopic hemostasis; Gastrointestinal hemorrhage
- Publisher
- Korean Academy of Medical Science
- Indexed
- SCIE; SCOPUS; KCI
- Document Type
- Article
- 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:
- 의과대학 > 의학과 > Journal papers
- Files in This Item:
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