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[Transarterial embolisation for gastrointestinal bleeding caused by an ulcer]

Ida Roost Rasmussen1, Ismail Gögenur, Mai-Britt Tolstrup

  • 1ida.roost.rasmussen@regionh.dk.

Ugeskrift for Laeger
|February 8, 2019
PubMed

Upper gastrointestinal bleeding caused by an ulcer is a common condition with approximately 1,500 admissions a year. The mortality is roughly 9%, with an increased risk in elderly with multiple comorbidities. First-line treatment is endoscopic double therapy. If haemostasis is not achieved and/or repeated rebleeding occurs, the choice of treatment is transarterial embolisation (TAE) or traditional surgery. TAE has a higher rate of rebleeding than surgery, but the mortality is comparable, and TAE has fewer complications. Prophylactic TAE may reduce the rate of re-intervention in patients, who have a high risk of rebleeding.

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