Emergency arterial embolization of upper gastrointestinal and jejunal tumors: An analysis of 12 patients with severe bleeding
| Autor: | I. Gallesio, F. Zandrino, M. Summa, S.M. Tettoni |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Severe bleeding medicine.medical_specialty Gastrointestinal bleeding Percutaneous medicine.medical_treatment Radiography Interventional 030218 nuclear medicine & medical imaging 03 medical and health sciences 0302 clinical medicine Duodenal Tumor medicine Humans Upper gastrointestinal Radiology Nuclear Medicine and imaging Embolization Aged Gastrointestinal Neoplasms Retrospective Studies Aged 80 and over Jejunal Neoplasms Radiological and Ultrasound Technology medicine.diagnostic_test business.industry Arterial Embolization Angiography Interventional radiology General Medicine Middle Aged medicine.disease Embolization Therapeutic Surgery Female 030211 gastroenterology & hepatology Radiology Gastrointestinal Hemorrhage business |
| Zdroj: | Diagnostic and Interventional Imaging. 98:51-56 |
| ISSN: | 2211-5684 |
| Popis: | Purpose The goal of this study was to retrospectively assess the efficacy of emergency percutaneous transcatheter arterial embolization in patients with severe bleeding due to upper gastrointestinal or jejunal tumor. Materials and methods Twelve patients (7 men, 5 women; mean age, 74 years ± 14 (SD); range: 54–86 years) with severe bleeding from the upper gastrointestinal tract, with failed endoscopic treatment not eligible for emergency surgery were treated by emergency percutaneous transcatheter arterial embolization. The bleeding cause was gastric tumor in 7 patients, duodenal tumor in 4 patients and jejunal tumor in one patient. Procedure details and follow-up were reviewed. Results Twelve embolization procedures were performed using various embolic agents. Embolization was achieved and bleeding was stopped in all patients. Five patients underwent surgery within the 30 days following embolization. In the remaining 7 patients, no bleeding occurred at 1 month follow-up in 6 patients and bleeding recurred in one patient at 1 month. In this later patient, endoscopic treatment was successful. Conclusion The results of our study suggest that transcatheter arterial embolization is safe and effective in patients with severe arterial bleeding due to upper gastrointestinal or jejunal tumor. In some patients, transcatheter arterial embolization can be used as a bridge to surgery. |
| Databáze: | OpenAIRE |
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