Emergency interventional therapy of massive upper digestive tract bleeding

SI Guang-yan; WANG Xue-jian; ZHOU Shi; LI Xing; SONG Jie; JIANG Tian-peng; ZHANG Wei

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Journal of China Clinic Medical Imaging ›› 2007, Vol. 18 ›› Issue (8) : 566-568.

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Emergency interventional therapy of massive upper digestive tract bleeding

SI Guang-yan1, WANG Xue-jian2, ZHOU Shi2, LI Xing2, SONG Jie2, JIANG Tian-peng2, ZHANG Wei2

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Abstract

Objective: To explore the time of treatment, methods and effect of hemostasis in emergency interventional therapy of massive upper digestive tract bleeding. Methods: Sixty-five cases of massive bleeding of upper digestive tract were treated with interventional therapy. According to the angiographic signs, arterial embolization or transjugular intrahepatic portosystemic shunt(TIPSS) were perfomed. The time of treatment, angiographic signs, methods and effect of hemostasis were analysed. Results: Arterial embolization were perfomed in 42 cases, TIPSS in 19 cases, medical therapy in 2 cases and surgical therapy in 2 cases. During 1 month follow-up, 1 case rebled after TIPSS and 2 after arterial embolization. Neither dead cases nor serious complications occurred. Conclusion: In massive upper digestive tract bleeding emergency interventional therapy is a good method of hemostasis, with low mortality and small trauma.

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gastrointestinal hemorrhage / embolization / therapeutic

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SI Guang-yan;WANG Xue-jian;ZHOU Shi;LI Xing;SONG Jie;JIANG Tian-peng;ZHANG Wei. Emergency interventional therapy of massive upper digestive tract bleeding[J]. Journal of China Clinic Medical Imaging. 2007, 18(8): 566-568