Korean J Radiol.  2012 Feb;13(Suppl 1):S31-S39. 10.3348/kjr.2012.13.S1.S31.

Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding

• Shin JH

• KMID: 1372865
• DOI: http://doi.org/10.3348/kjr.2012.13.S1.S31

Abstract

Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.

Keyword

Upper gastrointestinal tract bleeding; Embolization; Embolic materials

MeSH Terms

Angiography
Embolization, Therapeutic/*methods
Endoscopy, Gastrointestinal
Gastrointestinal Hemorrhage/etiology/*therapy
Hemostasis, Endoscopic
Humans
*Upper Gastrointestinal Tract