Objective: To evaluate the efficacy of transarterial embolization (TAE) in the treatment of acute upper gastrointestinal bleeding
(UGIB) and identify potential factors affecting the treatment outcome.
Patients and Methods: Eighteen patients with UGIB treated with TAE were included in the study. The demographic data, causes of
bleeding, angiography findings, treatments applied, and clinical outcomes were retrospectively analyzed.
Results: Thirteen (72.2%) patients were male, five (27.8%) were female, and the mean age was 55 years (range: 33-68 years). A
pseudoaneurysm (n = 7; 38.9%) was the most common finding, followed by tumor staining (n = 4; 22.2%). The most common
pathology causing bleeding was peptic ulcer disease (n = 9; 50%). The most commonly embolized artery was the gastroduodenal
artery (n = 11; 61.1%). There were three (16.7%) patients with hemobilia due to iatrogenic hepatic artery pseudoaneurysm. In most
cases (n = 9; 50%), coils and polyvinyl alcohol particles were used in combination. Technical success was achieved in all patients. The
clinical success rate was 78.5% (11/14 patients) after the exclusion of patients who died for non-UGIB causes (n = 4; 22.2%).
Conclusion: Transarterial embolizati
Interventional imaging Nonvariceal upper gastrointestinal bleeding Endoscopy Angiography Embolization
Birincil Dil | İngilizce |
---|---|
Konular | Klinik Tıp Bilimleri |
Bölüm | Original Articles |
Yazarlar | |
Yayımlanma Tarihi | 31 Mayıs 2021 |
Yayımlandığı Sayı | Yıl 2021 Cilt: 34 Sayı: 2 |