The bleeding marginal ulcer. Catheterization diagnosis and therapy.

Area of Science:

• Vascular Interventional Radiology
• Gastroenterology

Background:

• Marginal ulcers are a potential complication following gastric surgery.
• Identifying the source of active bleeding is crucial for effective management.

Observation:

• Superior mesenteric arteriography successfully diagnosed actively bleeding marginal ulcers in five patients.
• The procedure allowed for targeted assessment of bleeding.

Findings:

• Pitressin (vasopressin) infusion into the superior mesenteric artery achieved permanent hemostasis in two patients.
• Transient hemostasis was observed in two other patients.
• One patient did not undergo Pitressin infusion.

Implications:

• Superior mesenteric artery Pitressin infusion presents a minimally invasive treatment option for bleeding marginal ulcers.
• This endovascular approach should be considered prior to surgical intervention.
• Angiography-guided therapy offers a promising alternative for managing gastrointestinal hemorrhage.