病:直肠动脉栓塞可以发挥什么作用?
Julien Panneau1,2,3, Diane Mege4, Mathieu Di Bisceglie1,2,3
1Interventional Radiology Section, Department of Medical Imaging, University Hospital Timone, APHM, Marseille, France.
Frontiers in surgery
|January 22, 2025
概括
动脉栓塞 (HAE) 是一种安全有效的微创治疗方法,用于严重的出血. 研究显示,高成功率 (63-94%) 并发症很少,为选定的患者提供了有价值的选择.
科学领域:
- 干预性放射学 干预性放射学
- 胃肠病学 胃肠病学
背景情况:
- 出血可能是使人衰弱的,并且对传统疗法没有反应.
- 越来越多地寻求微创治疗方法来治疗病.
研究的目的:
- 根据当前的文献,为出血提供直肠动脉栓塞 (RAE) 的概述.
- 评估RAE的可行性,有效性和安全性.
主要方法:
- 使用PubMed-Medline进行了全面的文献审查.
- 确定了有关动脉栓塞的相关研究,并以叙事方式总结了它们.
主要成果:
- 在治疗出血方面,RAE是可行的,有效的和安全的.
- 发表的数据包括近250名患者,技术成功率和临床成功率高 (63-94%).
- 没有报告重大并发症;对于复发,重复手术是可能的.
结论:
- 结直肠动脉栓塞是一种宝贵的补充,用于治疗出血性病的治疗选择.
- 适当的患者选择对于成功的结果至关重要.
- 解剖学变异可能需要进一步调查或重复会议.
相关概念视频
Esophageal Varices-II: Clinical Features and Management
45
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
45
Esophageal Varices-I: Introduction
71
Esophageal varices are dilated, tortuous veins which are found mainly in the submucosa of the lower esophagus but which may also appear higher up or extend into the stomach. They develop due to increased pressure in the portal venous system, often as a result of liver cirrhosis. This condition scars and damages the liver, impeding normal blood flow through the portal vein. To compensate, blood seeks alternative pathways, forming fragile new vessels (varices) in the esophagus and stomach. These...
71


