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Published on: March 25, 2022
Transcatheter arterial embolization in patients with bleeding duodenal ulcer: an alternative to surgery
J Bendix Holme1, D Tønner Nielsen, P Funch-Jensen
1Department of Surgery L, Aarhus University Hospital, Aarhus, Denmark. jbend@akh.aaa.dk
Purpose:
To evaluate the efficacy and safety of transcatheter arterial embolization (TAE) in patients with bleeding/rebleeding duodenal ulcers.
Material And Methods:
Over a 6-year-period, 40 consecutive patients with bleeding/ rebleeding after endoscopic therapy and/or surgery for duodenal ulcer were included in the study. Superselective angiographic catheterization and coil embolization were performed by the same interventional radiologist.
Results:
Lasting hemostasis was achieved in 26 of 40 patients (65%). Transfusion requirement was reduced from median 14 (range 3-35) units of blood before TAE to 2 (range 0-53) units after TAE. Ten patients died, five because of continuous bleeding. No adverse effects as a result of TAE were seen.
Conclusion:
TAE is an effective and safe treatment in a significant proportion of patients with bleeding duodenal/rebleeding ulcers after therapeutic endoscopy and/or surgery.
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