Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding

Thomas G. Morgan; Tarryn Carlsson; Eric Loveday; Neil Collin; Graham Collin; Peter Mezes; Anne M. Pullyblank

추천

검색

자료유형: 학술저널

저자정보: Thomas G. Morgan (Dpeartment of Surgery University of Auckland Auckland New Zealand) Tarryn Carlsson (Departments of Radiology Southmead Hospital Bristol UK) Eric Loveday (Departments of Radiology Southmead Hospital Bristol UK) Neil Collin (Departments of Radiology Southmead Hospital Bristol UK) Graham Collin (Departments of Radiology Southmead Hospital Bristol UK) Peter Mezes (Departments of Radiology Southmead Hospital Bristol UK) Anne M. Pullyblank (Departments of Surgery Southmead Hospital Bristol UK)

저널정보: 소화기인터벤션의학회 International Journal of Gastrointestinal Intervention International Journal of Gastrointestinal Intervention 제10권 제1호

발행연도: 2021.1

수록면: 17 - 22 (6page)

이용수

📌

연구주제

📖

연구배경

🔬

연구방법

🏆

연구결과

초록· 키워드

오류제보하기

Background: Increasingly interventional radiology has been used to stop uncontrolled gastrointestinal (GI) bleeding leading to a reduction in the requirement for surgical intervention. To examine the safety and efficacy of angiography and embolisation for the treatment of GI bleeding in a United Kingdom tertiary hospital. Methods: This was a single-centre retrospective study of 112 procedures performed on 105 patients who underwent catheter angiography for GI bleeding over 7 years. Fifty procedures were for upper GI bleeding and 62 were for lower GI bleeding. Primary outcome was clinical success rate. Other measures were re-bleeding rates and 30-day mortality. Results: In patients with upper GI bleeds, 71.6% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall, the clinical success rate was 70.4% with a 20% 30-day mortality. Technical success with embolisation was 98% with no major complications. In patients with lower GI bleeds, 50% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall clinical success rate was 83.0% with a 13.6% 30-day mortality. Technical success with embolisation was 100% with no major complications. Conclusion: Catheter directed angiography and embolisation is safe and efficacious in patients with GI bleeding who have a positive computed tomography angiogram and should be considered as an alternative to surgery.

#Endoscopic hemostasis #Gastrointestinal hemorrhage #Hematochezia #Melena #Peptic ulcer hemorrhage

참고문헌 (29)

참고문헌 신청

Rockall TA / 1995 / Incidence of and mortality from acute upper gastrointestinal haemorrhage in the United Kingdom. Steering committee and members of the national audit of acute upper gastrointestinal haemorrhage / BMJ 311:222~226

Lanas A / 2009 / Time trends and impact of upper and lower gastrointestinal bleeding and perforation in clinical practice / Am J Gastroenterol 104:1633~1641

Hreinsson JP / 2013 / Lower gastrointestinal bleeding: incidence, etiology, and outcomes in a population-based setting / Eur J Gastroenterol Hepatol 25:37~43

Czymek R / 2012 / Surgical management of acute upper gastrointestinal bleeding: still a major challenge / Hepatogastroenterology 59:768~773

Oakland K / 2018 / Acute lower GI bleeding in the UK: patient characteristics, interventions and outcomes in the first nationwide audit / Gut 67:654~662

함께 읽어보면 좋을 논문

논문 유사도에 따라 DBpia 가 추천하는 논문입니다. 함께 보면 좋을 연관 논문을 확인해보세요!

이 논문의 저자 정보

Thomas G. Morgan

소속기관 Dpeartment of Surgery University of Auckland Auckland New Zealand

주요연구분야 의약학 > 임상의학 > 내과학

논문수 1 이용수 0

Tarryn Carlsson