Ulusal travma ve acil cerrahi dergisi = Turkish journal of trauma & emergency surgery : TJTES · 2026
Efficacy and safety of empiric transcatheter arterial embolization for acute arterial upper gastrointestinal bleeding: A tertiary-care, single-center experience.
СтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
Загрузка состояния…
Ошибки и ограничения
История · было → стало
Состояние обновляется каждые 5 секунд, пока блок открыт. Процент показывается только там, где известен объём работы. Пауза останавливает продолжение этапа; текущий запрос к источнику может завершиться.
Gönüllü Emre, Senturk Adem, Narmanlı Mustafa, Özer İsmail, Harmantepe Ahmet Tarik, Ozdemir Kayhan, Taşçi Volkan, Taydas Onur, Eröz Erhan, Öztürk Mehmet Halil
Аннотация
BACKGROUND: Upper gastrointestinal bleeding (UGIB) is a significant cause of morbidity and mortality. While endoscopy is the primary treatment modality, transcatheter arterial embolization (TAE) can be an effective alternative when endoscopic treatment fails. This study aims to evaluate the safety and efficacy of empiric TAE for acute UGIB.
METHODS: This retrospective, single-center study reviewed 20 consecutive patients referred to interventional radiology for embolization due to UGIB between August 2021 and November 2024. The mean patient age was 62.3±16.2 years. Clinical success was defined as devascularization of the target area resulting in clinical cessation of bleeding and stabilization of hemoglobin levels. Technical success was defined as occlusion of the feeding vessel and/or absence of extravasation following angiography.
RESULTS: Thirteen patients (65%) had duodenal bleeding and underwent gastroduodenal artery embolization. Seven patients (35%) had gastric bleeding and underwent left gastric artery embolization. Both the technical and clinical success rates of the procedure were 100%. Rebleeding occurred in one patient (5%) and was managed surgically. There was no procedure-related mortality. One major complication (5%), coil migration, was managed conservatively. One minor complication (5%), a groin hematoma, occurred and did not require transfusion.
CONCLUSION: Empiric transcatheter embolization is an effective and safe treatment option for acute upper gastrointestinal bleeding, demonstrating high technical and clinical success rates. The procedure shows favorable outcomes in terms of hemostasis, rebleeding rates, and complication profiles compared to surgical intervention.
METHODS: This retrospective, single-center study reviewed 20 consecutive patients referred to interventional radiology for embolization due to UGIB between August 2021 and November 2024. The mean patient age was 62.3±16.2 years. Clinical success was defined as devascularization of the target area resulting in clinical cessation of bleeding and stabilization of hemoglobin levels. Technical success was defined as occlusion of the feeding vessel and/or absence of extravasation following angiography.
RESULTS: Thirteen patients (65%) had duodenal bleeding and underwent gastroduodenal artery embolization. Seven patients (35%) had gastric bleeding and underwent left gastric artery embolization. Both the technical and clinical success rates of the procedure were 100%. Rebleeding occurred in one patient (5%) and was managed surgically. There was no procedure-related mortality. One major complication (5%), coil migration, was managed conservatively. One minor complication (5%), a groin hematoma, occurred and did not require transfusion.
CONCLUSION: Empiric transcatheter embolization is an effective and safe treatment option for acute upper gastrointestinal bleeding, demonstrating high technical and clinical success rates. The procedure shows favorable outcomes in terms of hemostasis, rebleeding rates, and complication profiles compared to surgical intervention.