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Variceal and Nonvariceal Upper Gastrointestinal Bleeding Refractory to Endoscopic Management: Indications and Role of

Ece Meram1, Elliott Russell1, Orhan Ozkan1

  • 1University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792, USA.

Gastrointestinal Endoscopy Clinics of North America
|February 23, 2024
PubMed

Insights

Interventional radiology aids in diagnosing and treating gastrointestinal bleeding when endoscopy is not feasible. Catheter-based interventions offer an alternative for managing upper GI bleeding effectively.

Area of Science:

  • Medical imaging
  • Gastroenterology
  • Interventional Radiology

Background:

  • Diagnostic and interventional radiology have a long history in managing gastrointestinal bleeding.
  • Endoscopy is a primary tool for evaluating and treating upper GI bleeding.

Purpose of the Study:

  • To highlight the role of interventional radiology in cases of upper GI bleeding.
  • To discuss catheter-based interventions as an alternative when endoscopy is contraindicated or unsuccessful.

Main Methods:

  • Consultation with interventional radiology for patients with upper GI bleeding.
  • Evaluation for catheter-based intervention.

Main Results:

  • Interventional radiology provides diagnostic and therapeutic options for upper GI bleeding.
  • Catheter-based angiography and embolization are key interventional radiology techniques.

Conclusions:

  • Interventional radiology is a crucial resource for managing complex upper GI bleeding cases.
  • Catheter-based interventions offer a valuable alternative to endoscopy.

Keywords:
EmbolizationEmpirical embolizationHemobiliaHemosuccus pancreaticusInterventional radiologyProphylactic embolizationUpper GI bleedingVariceal bleeding

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