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Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding

Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventi...

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Detalles Bibliográficos
Autor principal: Shin, Ji Hoon
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Korean Society of Radiology 2012
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3341458/
https://www.ncbi.nlm.nih.gov/pubmed/22563285
http://dx.doi.org/10.3348/kjr.2012.13.S1.S31
Descripción
Sumario:Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.