Multidisciplinary Approach to Refractory Upper Gastrointestinal Bleeding: Case Series of Angiographic Embolization

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...

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Veröffentlicht in:Journal of Korean medical science 2017, Vol.32 (9), p.1552-1557
Hauptverfasser: Lee, Ko Eun, Shim, Ki Nam, Tae, Chung Hyun, Ryu, Min Sun, Choi, Sun Young, Moon, Chang Mo, Kim, Seong Eun, Jung, Hey Kyung, Jung, Sung Ae
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container_end_page 1557
container_issue 9
container_start_page 1552
container_title Journal of Korean medical science
container_volume 32
creator Lee, Ko Eun
Shim, Ki Nam
Tae, Chung Hyun
Ryu, Min Sun
Choi, Sun Young
Moon, Chang Mo
Kim, Seong Eun
Jung, Hey Kyung
Jung, Sung Ae
description 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.
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source KoreaMed Synapse; DOAJ Directory of Open Access Journals; PubMed Central Open Access; KoreaMed Open Access; EZB-FREE-00999 freely available EZB journals; PubMed Central
title Multidisciplinary Approach to Refractory Upper Gastrointestinal Bleeding: Case Series of Angiographic Embolization
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