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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
1   Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois
,
Jay Patel
1   Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois
,
Lisa Kang
1   Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois
› Author Affiliations
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Publication History

Publication Date:
16 October 2012 (online)

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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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