Role of Interventional Radiology in the Emergent Management of Acute Upper Gastrointestinal Bleeding

Rakesh Navuluri; Jay Patel; Lisa Kang

doi:10.1055/s-0032-1326925

Seminars in Interventional Radiology, Inhaltsverzeichnis

Semin intervent Radiol 2012; 29(03): 169-177
DOI: 10.1055/s-0032-1326925

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Role of Interventional Radiology in the Emergent Management of Acute Upper Gastrointestinal Bleeding

Rakesh Navuluri

¹Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois

,

Jay Patel

¹Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois

,

Lisa Kang

¹Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois

› Institutsangaben

Abstract

Approximately 100,000 cases of upper gastrointestinal bleeding (UGIB) require inpatient admission annually in the United States. When medical management and endoscopic therapy are inadequate, endovascular intervention can be lifesaving. These emergent situations highlight the importance of immediate competence of the interventional radiologist in the preangiographic evaluation as well as the endovascular treatment of UGIB. We describe a case of UGIB managed with endovascular embolization and detail the angiographic techniques used. The case description is followed by a detailed discussion of the treatment approach to UGIB, with attention to both nonvariceal and variceal algorithms.

Keywords

embolization - upper gastrointestinal hemorrhage - emergent - TIPS

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Referenzen

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