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What if endoscopic hemostasis fails? Alternative treatment strategies: interventional radiology

Sujal M Nanavati1

  • 1Interventional Radiology, Department of Radiology and Biomedical Imaging, UCSF, 1001 Potrero Avenue, Rm. 1x55, San Francisco, CA 94110, USA.

Gastroenterology Clinics of North America
|December 3, 2014
PubMed

Insights

Interventional radiology, initially diagnostic, is now a key therapeutic tool for gastrointestinal bleeding. Transcatheter angiography and intervention remain crucial for managing this condition.

Area of Science:

  • Medical Imaging
  • Interventional Radiology
  • Gastroenterology

Background:

  • Interventional radiology has been integral to gastrointestinal bleeding management since the 1960s.
  • Its role has shifted from primarily diagnostic to significantly therapeutic.
  • Despite advances in pharmacologic and endoscopic treatments, invasive interventions are still necessary.

Purpose of the Study:

  • To highlight the evolution and current importance of interventional radiology in treating gastrointestinal bleeding.
  • To emphasize the continued need for advanced interventional techniques.

Main Methods:

  • Review of the historical development of interventional radiology in gastrointestinal bleeding.
  • Analysis of the current treatment algorithm for gastrointestinal bleeding.

Main Results:

  • Interventional radiology has transformed from a diagnostic to a therapeutic modality.
  • Transcatheter angiography and intervention are fundamental components of current treatment strategies.

Conclusions:

  • Interventional radiology is an essential therapeutic option for gastrointestinal bleeding.
  • Transcatheter angiography and intervention play a critical role in the management algorithm.

Keywords:
Acute upper gastrointestinal bleedingEmbolizationEndoscopic hemostasisInterventional radiologyTreatment

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