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[Early superselective angiography and transarterial embolization for massive bleeding after gastrectomy]
Xin-cai Qu1, Qi-chang Zheng, Jian-ming Yu
1Department of General Surgery, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China.
Zhonghua Wai Ke Za Zhi [Chinese Journal of Surgery]
|August 2, 2003
Summary
Early superselective angiography and embolization effectively treat massive bleeding after gastrectomy. This minimally invasive approach is safe and recommended for patients experiencing significant gastrointestinal bleeding post-surgery.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Surgical Oncology
Background:
- Massive bleeding is a serious complication following gastrectomy.
- Timely diagnosis and intervention are crucial for patient outcomes.
Purpose of the Study:
- To assess the effectiveness of early superselective angiography and embolization for managing massive post-gastrectomy bleeding.
- To evaluate this diagnostic and therapeutic strategy in a clinical setting.
Main Methods:
- Retrospective analysis of clinical data from 28 patients with massive bleeding after gastrectomy (1980-2001).
- All patients underwent emergency angiography.
- 27 patients received transcatheter embolization for bleeding control.
Main Results:
- Successful bleeding control achieved in 26 out of 28 patients (93% success rate).
- One patient experienced recurrent bleeding, and another had unrecognized bleeding.
- No patient deaths were recorded; one patient reported abdominal pain.
Conclusions:
- Transarterial embolization is a safe and effective treatment for massive bleeding after gastrectomy.
- Early emergency angiography should be considered for all patients with significant gastrointestinal bleeding post-gastrectomy.