ENDOVASCULAR OPERATIONS OF BLEEDING FROM GASTRIC AND DUODENAL ULCER
DOI:
https://doi.org/10.52340/jecm.2023.06.03Keywords:
Endovascular surgery, bleeding, gastro-duodenal ulcer, embolizationAbstract
Gastrointestinal bleeding (GI) is a disease that occurs frequently, with many possible causes. The most severe bleeding responds well to conservative, medical and endoscopic therapy. Nevertheless, a certain number of endoscopically undetectable or controlled non-varicose gastrointestinal bleeding requires alternative, sometimes surgical, therapy. The updated S2k guideline "Gastrointestinal bleeding" allows interventional radiology with its minimally invasive endovascular technique. This review guideline discusses the role of interventional radiology in the therapy of upper and lower gastrointestinal bleeding, considering the indications, techniques, outcomes, and interdisciplinary therapy options of endovascular therapy, guideline-oriented endovascular treatment of gastrointestinal bleeding, in our case using embolization material as hemostatic sponge and coils. It is a reasonable option with good technical and clinical success rates and low complication rates. In this context, a solid knowledge of vascular anatomy is essential to obtain adequate hemostasis.
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