Morphologic and Histopathologic Changes in the Bowel after Super-Selective Transcatheter Embolization for Focal Lower Gastrointestinal Hemorrhage

Horiguchi, Jun; Naito, Akira; Fukuda, Hiroshi; Nakashige, Aya; Ito, Katsuhide; Kiso, T.; Mori, Masakazu

doi:10.1034/j.1600-0455.2003.00062.x

Cited by 12 publications

(2 citation statements)

References 21 publications

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“…Super-selective arterial embolization has become an effective method to rapidly and safely control upper GI bleeding[1,2,4,6,7,13]. In contrast to upper GI bleeding, bleeding originating distally to the ligament of Treitz has always been viewed more conservative due to the bowels, especially the large bowels.…”

Section: Discussionmentioning

confidence: 99%

Super-selective arterial embolization in the control of acute lower gastrointestinal hemorrhage

2019

WJCC

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BACKGROUNDAcute gastrointestinal bleeding is an emergency condition that can lead to significant morbidity and mortality. Embolization is considered the preferred therapy in the treatment of lower gastrointestinal bleeding when it is unrealistic to perform the surgery or vasopressin infusion in this population. Treatment of acute lower gastrointestinal (GI) bleeding (any site below the ligament of Treitz) using this technique has not reached a consensus, because of the belief that the risk of intestinal infarction in this condition is extremely high. The purpose of the study is to evaluate the effectiveness and safety of this technique in a retrospective group of patients who underwent embolization for acute lower GI bleeding.AIMTo evaluate the efficacy and safety of super-selective arterial embolization in the management of acute lower GI bleeding.METHODSA series of 31 consecutive patients with angiographically demonstrated small intestinal or colonic bleeding was retrospectively reviewed. The success rate and complication rate of super-selective embolization were recorded.RESULTSFive out of thirty-one patients (16.1%) could not achieve sufficiently selective catheterization to permit embolization. Initial control of bleeding was achieved in 26 patients (100%), and relapsed GI bleeding occurred in 1 of them at 1 wk after the operation. No clinically apparent bowel infarctions were observed in patients undergoing embolization.CONCLUSIONSuper-selective embolization is a safe therapeutic method for acute lower GI bleeding, and it is suitable and effective for many patients suffering this disease. Importantly, careful technique and suitable embolic agent are essential to the successful operation.

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Section: Discussionmentioning

confidence: 99%

Super-selective arterial embolization in the control of acute lower gastrointestinal hemorrhage

2019

WJCC

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“…When the bleeding origin vessel is well visualised and superselectively accessible, coil embolisation will be selected (Defreyne et al 2001; Gordon et al 1997; Horiguchi et al 2003; Ledermann et al 1999). However, it may be difficult to identify culprit vessels of tumour bleeding on angiography because tumour bleeding is likely to be attributed to fine vessels (Chuang et al 1979).…”

Section: Introductionmentioning

confidence: 99%

Imipenem/cilastatin sodium (IPM/CS) as an embolic agent for transcatheter arterial embolisation: a preliminary clinical study of gastrointestinal bleeding from neoplasms

et al. 2013

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PurposeTo evaluate the feasibility and usefulness of imipenem/cilastatin sodium (IPM/CS) as an embolic agent for intestinal bleeding from neoplasms.Materials and methodsSeven patients who underwent 11 transarterial embolisations (TAEs) using IPM/CS as an embolic material for duodenal or small/large intestinal tumour bleeding from January 2004 to December 2011 were retrospectively evaluated. A mixture of IPM/CS and contrast medium was introduced through the microcatheter positioned at the feeding artery to the tumour until extravasation disappeared or stasis of blood flow to the tumour staining was observed.ResultsHaemostasis was obtained in all patients. Therefore, the technical success rate was 100%. Rebleeding was observed in four patients. All of them underwent repeat TAE using IPM/CS, and haemostasis was obtained successfully. No complication was identified following laboratory and clinical examinations. No haemorrhagic death occurred. Haemorrhagic parameters, including blood haemoglobin and the amount of blood transfusion, improved after TAE.ConclusionThe safety, feasibility, and effectiveness of TAE using IPM/CS as an embolic material for intestinal bleeding from neoplasms were suggested by this study. The mild embolic effect of IPM/CS may be adequate for oozing from tumours. Although rebleeding may occur after embolotherapy using IPM/CS, repeat embolisation is effective as treatment for rebleeding.

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Embolization for Lower GI Bleeding

Darcy¹

Vascular Embolotherapy

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Morphologic and Histopathologic Changes in the Bowel after Super-Selective Transcatheter Embolization for Focal Lower Gastrointestinal Hemorrhage

Cited by 12 publications

References 21 publications

Super-selective arterial embolization in the control of acute lower gastrointestinal hemorrhage

Super-selective arterial embolization in the control of acute lower gastrointestinal hemorrhage

Imipenem/cilastatin sodium (IPM/CS) as an embolic agent for transcatheter arterial embolisation: a preliminary clinical study of gastrointestinal bleeding from neoplasms

Embolization for Lower GI Bleeding

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