Gastrointestinal Intervention 2018; 7(3): 155-157  https://doi.org/10.18528/gii180019
Outcomes and complications of embolization for gastrointestinal bleeding
In Joon Lee*
Department of Radiology, Center for Liver Cancer, National Cancer Center, Goyang, Korea
*Department of Radiology, Center for Liver Cancer, National Cancer Center, 323 Ilsan-ro, Ilsandong-gu, Goyang 10408, Korea.
E-mail address: 2injoon@hanmail.net (I.J. Lee). ORCID: https://orcid.org/0000-0002-5779-5153
Received: June 18, 2018; Revised: July 7, 2018; Accepted: July 7, 2018; Published online: October 31, 2018.
© Society of Gastrointestinal Intervention. All rights reserved.

cc This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0) which permits unrestricted noncommercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Abstract
Gastrointestinal bleeding is a common medical emergency with significant morbidity and mortality. Although endoscopic treatment was recommended as the first-line approach, it is often limited in real clinical practice. Over the past few decades, transcatheter arterial embolization has become a major treatment modality for the management of gastrointestinal bleeding that is refractory to endoscopic management. This review aims to describe the outcomes and complications of transcatheter arterial embolization for gastrointestinal bleeding.
Keywords: Gastrointestinal bleeding; Transcatheter arterial embolization
Figures
Fig. 1. A 67-year-old man who underwent pyloruspreserving pancreaticoduodenectomy 6 years prior presented with massive hematemesis. (A) Computed tomography image shows contrast media extravasation in the efferent jejunal loop around the gastrojejunostomy (arrow). (B) Endoscopy failed to control active arterial bleeding at the jejunal ulcer. (C) Angiography shows pseudoaneurysm (arrow) around the endoscopic clips (arrowhead). (D) Superselective N-butyl cyanoacrylate embolization is performed through the tortuous jejunal branch and glue cast (arrow) is demonstrated on a fluoroscopic image.


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