[Endovascular arterial embolization for duodenal bleeding as an alternative to surgical approach].

Autor:	Bagdasarov VV; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation., Bagdasarova EA; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation., Chernookov AI; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation., Ataian AA; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation., Karchevskiĭ EV; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation., V D; I.M. Sechenov First Moscow State Medical University, Health Ministry of the Russian Federation.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2016 (2), pp. 45-50.
DOI:	10.17116/hirurgia2016245-50
Abstrakt:	Aim: To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management. Material and Methods: Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE. Results: Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014. Conclusion: TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
Databáze:	MEDLINE
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