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[Embolization procedures in acute haemorrhage from upper gastrointestinal tract]
Tadeusz J Popiela1, Paweł Brzegowy, Anna Paciorek
1Katedra Radiologii, Uniwersytet Jagielloński, Collegium Medicum.
Arterial embolization effectively controls acute upper gastrointestinal bleeding in patients with failed endoscopic treatment. This minimally invasive procedure offers a safe alternative to surgery, improving patient outcomes.
Area of Science:
- Interventional Radiology
- Gastroenterology
- Vascular Surgery
Background:
- High perioperative mortality associated with acute upper gastrointestinal hemorrhage (UGIH) after failed endoscopic interventions.
- Limited alternative treatment options for patients with refractory UGIH.
Purpose of the Study:
- To evaluate the efficacy and safety of arterial embolization for UGIH in patients with unsuccessful endoscopic procedures.
- To establish embolization as a viable alternative to surgery.
Main Methods:
- Diagnostic angiography performed in 48 patients with UGIH post-endoscopic failure.
- Selective arterial embolization performed in 28 patients.
- Assessment of hemorrhage control and procedural complications.
Main Results:
- Hemorrhage site localized in 77% of patients via angiography.
- Successful hemorrhage control achieved in 68% of patients undergoing embolization.
- No complications reported related to intravascular procedures.
Conclusions:
- Arterial embolization is an effective alternative to surgery for acute UGIH.
- Embolization provides a safe and successful treatment option for patients with failed endoscopic hemostasis.
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