Document Detail


Selective arterial embolization for control of massive upper gastrointestinal bleeding.
MedLine Citation:
PMID:  1081839     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Massive upper gastrointestinal bleeding was controlled in 11 of 15 patients by the use of selective injected arterial emboli. Embolization is most successful in the treatment of patients with demonstrated arterial bleeding sites at angiography. This group of patients generally has ulcers and it is this group in whom vasopressin infusion has the lowest success rate. At the same time we were successful in controlling only 1 of 4 patients who were bleeding from diffuse hemorrhagic gastritis, those patients in whom vasopressin infusion is very successfu, We, therefore, now embolize only patients in whom arterial bleeding sites are demonstrated at angiography or in whom vasopressin infusion has failed to control the bleeding from hemorrhagic gastritis. Our experience also indicates that short acting occlusive agents, such as autogenous blood clot mixed with aminocaproic acid, are as successful in controlling bleeding as the more permanent types of embolic material.
Authors:
S R Reuter; V P Chuang; R L Bree
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The American journal of roentgenology, radium therapy, and nuclear medicine     Volume:  125     ISSN:  0002-9580     ISO Abbreviation:  Am J Roentgenol Radium Ther Nucl Med     Publication Date:  1975 Sep 
Date Detail:
Created Date:  1976-02-13     Completed Date:  1976-02-13     Revised Date:  2006-04-13    
Medline Journal Info:
Nlm Unique ID:  7605534     Medline TA:  Am J Roentgenol Radium Ther Nucl Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  119-26     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Aminocaproic Acids
Duodenal Diseases / therapy*
Embolization, Therapeutic / methods*
Female
Gastritis / complications
Gastrointestinal Hemorrhage / etiology,  radiography,  therapy*
Gelatin Sponge, Absorbable
Humans
Male
Middle Aged
Peptic Ulcer Hemorrhage / radiography,  therapy
Stomach Diseases / therapy*
Chemical
Reg. No./Substance:
0/Aminocaproic Acids

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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