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Transcatheter arterial embolization in the treatment of gastrointestinal ulcer bleeding

https://doi.org/10.24884/0042-4625-2018-177-6-27-30

Abstract

The objective was to study the efficacy of transcatheter arterial embolization of gastric and duodenal vessels and to determine the indications for its use in gastroduodenal ulcer bleeding.

Material and methods. The study was based on the results of arterial embolization in 61 patients with gastroduodenal ulcer bleeding.

Results. Transcatheter arterial embolization of the left gastric artery, its branches and the gastroduodenal artery with an adhesive glue composite based on N-butyl-2-cyanoacrylate is highly effective in arresting bleeding permanently and preventing its relapse.

Conclusion. Transcatheter arterial embolization is an alternative to the surgical treatment in patients with gastrointestinal bleeding.

About the Authors

I. M. Musinov
Federal State Budgetary Military Educational Institution of Higher Education «Military Medical Academy named after S. M. Kirov» of the Ministry of Defence of the Russian Federation.
Russian Federation


A. E. Chikin
St. Petersburg State Budgetary Healthcare Institution «Aleksandrovskii hospital».
Russian Federation


A. S. Ganin
St. Petersburg State Budgetary Healthcare Institution «Aleksandrovskii hospital».
Russian Federation


E. Yu. Kachesov
St. Petersburg State Budgetary Healthcare Institution «Aleksandrovskii hospital».
Russian Federation


References

1. Bagnenko S. F., Musinov I. M., Kurygin A. A., Sinenchenko G. I. Recidivnye yazvennye zheludochno­kishechnye krovotecheniya. SPb.: Nevskij dialekt; M.: BINOM, 2009. 256 p. (In Russ.).

2. Sung J. J. Y., Chan F. K. L., Chen M. et al. Asia-Pacific working group consensus on non-variceal upper gastrointestinal bleeding // Gut. 2011. Vol. 60, № 9. P. 1170–1177.

3. Laine L., Jensen D. M. Management of patients with ulcer bleeding // Am. J. Gastroenterol. 2012. Vol. 107, № 2. P. 345–360.

4. Barkun A. N., Bardou M., Kuipers E. J. et al. International consensus recommendations on management of patients with nonvariceal upper gas­trointestinal bleeding // Ann. Inter. Med. 2010. Vol. 152, № 2. P. 101–113.


Review

For citations:


Musinov I.M., Chikin A.E., Ganin A.S., Kachesov E.Yu. Transcatheter arterial embolization in the treatment of gastrointestinal ulcer bleeding. Grekov's Bulletin of Surgery. 2018;177(6):27-30. (In Russ.) https://doi.org/10.24884/0042-4625-2018-177-6-27-30

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ISSN 0042-4625 (Print)
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