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Semin intervent Radiol 2012; 29(03): 178-186
DOI: 10.1055/s-0032-1326926
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Acute Lower Gastrointestinal Bleeding

Rakesh Navuluri
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
,
Jay Patel
1   Department of Radiology, the University of Chicago Medical Center, Chicago, Illinois
,
Thuong Van Ha
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

The annual incidence of lower gastrointestinal bleeding (LGIB) is ∼20.5 in 100,000 in the general Western population and results in 1 to 2% of hospital emergencies. When medical management and endoscopic therapy are inadequate in cases of acute LGIB, endovascular intervention can be lifesaving. In these emergent situations it is important for the interventional radiologist to be well versed in the multidisciplinary preangiographic work-up, the angiographic presentations of LGIB, and the endovascular therapeutic options. We describe a case of LGIB managed with endovascular embolization and detail the angiographic techniques used, followed by a detailed discussion of the various treatment approaches to LGIB.

Keywords

embolization - GI bleeding - emergent
 

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