Recent advances in endovascular techniques for management of acute nonvariceal upper gastrointestinal bleeding

作     者：Romaric F Loffroy Basem A Abualsaud Ming D Lin Pramod P Rao 

作者机构：LE2I LaboratoryCNRS UMR 5158Department of Vascular and Interventional RadiologyUniversity of Dijon School of MedicineBocage Teaching Hospital2 Bd Maréchal de Lattre de TassignyBP 7790821079 DijonFrance Department of Vascular and Interventional RadiologyUniversity of Dijon School of MedicineBocage Teaching Hospital2 Bd Maréchal de Lattre de TassignyBP 7790821079 DijonFrance Clinical InformaticsInterventionaland Translational SolutionsPhilips Research North America345 Scarborough RoadBriarcliff ManorNY 10510United States Russell H.Morgan Department of Radiology and Radiological ScienceDivision of Vascular and Interventional RadiologyJohns Hopkins Hospital600 North Wolfe Street Blalock 545BaltimoreMD 21287United States 

出 版 物：《World Journal of Gastrointestinal Surgery》 (世界胃肠外科杂志（英文版）（电子版）)

年 卷 期：2011年第3卷第7期

页      面：89-100页

学科分类：1002[医学-临床医学] 100201[医学-内科学(含：心血管病、血液病、呼吸系病、消化系病、内分泌与代谢病、肾病、风湿病、传染病)] 10[医学] 

主　　题：Upper gastrointestinal bleeding Endoscopy Angiography Embolization Surgery 

摘      要：Over the past two decades,transcatheter arterial embolization has become the first-line therapy for the management of upper gastrointestinal bleeding that is refractory to endoscopic *** in catheter-based techniques and newer embolic agents, as well as recognition of the effectiveness of minimally invasive treatment options,have expanded the role of interventional radiology in the management of hemorrhage for a variety of indications,such as peptic ulcerbleeding,malignant disease,hemorrhagic Dieulafoy lesions and iatrogenic or trauma *** interventions include the following:selective embolization of the feeding artery,sandwich coil occlusion of the gastroduodenal artery,blind or empiric embolization of the supposed bleeding vessel based on endoscopic findings and coil pseudoaneurysm or aneurysm embolization by three-dimensional sac packing with preservation of the parent *** embolization is a fast,safe and effective,minimally invasive alternative to surgery when endoscopic treatment fails to control bleeding from the upper gastrointestinal *** article reviews the various transcatheter endovascular techniques and devices that are used in a variety of clinical scenarios for the management of hemorrhagic gastrointestinal emergencies.