Article Sidebar

pdf
Date Published: 30/08/2023
Online Published: 30/08/2023
Abstract Views: 4
Views pdf: 1
Issue
No. 52 (2023)
Section
Scientific research
How to Cite
Tran, D. K. V., Vo, T. D., Pham, N. M. T., Dang, Q. V., & Nguyen , H. B. (2023). THE INITIAL RESULT OF TRANSCATHETER ANGIOGRAPHIC EMBOLIZATION IN MANAGEMENT OF ACUTE LOWER GASTROINTESTINAL BLEEDING. Vietnamese Journal of Radiology and Nuclear Medicine, 52, 4-9. https://vjrnm.edu.vn/index.php/vjrnm/article/view/866

THE INITIAL RESULT OF TRANSCATHETER ANGIOGRAPHIC EMBOLIZATION IN MANAGEMENT OF ACUTE LOWER GASTROINTESTINAL BLEEDING

Tran Doan Khac Viet1,, Vo Tan Duc1, Pham Ngoc Minh Triet1, Dang Quoc Viet2, Nguyen Hoang Bac2
1 Department of Diagnostic Imaging, University of Medicine and Pharmacy Hospital, Ho Chi Minh City
2 Department of Hepatobiliary Surgery, University of Medicine and Pharmacy Hospital, Ho Chi Minh City

Main Article Content

Abstract

Background: Acute lower gastrointestinal bleeding is an urgent, potentially life-threatening emergency, especially in case endoscopy is not identifiable or uncontrollable in management bleeding. Following the development of technology and applying minimal invasive modalities, endovascular treatment is more and more to be applied.


Methods: Case series


Results: From 01/2019 to 01/2022, 35 procedures were performed in 24 patients with 12 angiographies and 23 embolisms. The rate of technical success was 95.6% and clinical success reaches 81.8%. There was no major complication relating to bowel ischemia.


Conclusion:


Transcatheter angiographic embolization is a safe and effective management for acute lower gastrointestinal bleeding with minimal invasive.

Article Details

Keywords

acute lower gastrointestinal bleeding, embolization, endovascular

References

1. Navuluri R, Kang L, Patel J, Van Ha T. Acute lower gastrointestinal bleeding. Semin Intervent Radiol. Sep 2012;29(3):178-86. doi:10.1055/s-0032-1326926
2. Sengupta N, Feuerstein JD, Jairath V, et al. Management of Patients With Acute Lower Gastrointestinal Bleeding: An Updated ACG Guideline. Official journal of the American College of Gastroenterology | ACG. 2023;118(2):208231. doi:10.14309/ajg.0000000000002130
3. Chang MA, Savides TJ. Endoscopic Management of Nonvariceal, Nonulcer Upper Gastrointestinal Bleeding. Gastrointest Endosc Clin N Am. Jul 2018;28(3):291-306. doi:10.1016/j.giec.2018.02.003
4. Green BT, Rockey DC, Portwood G, et al. Urgent colonoscopy for evaluation and management of acute lower gastrointestinal hemorrhage: a randomized controlled trial. Am J Gastroenterol. Nov 2005;100(11):2395-402. doi:10.1111/j.1572-0241.2005.00306.x
5. Nguyễn Thị Hồng Linh, Võ Tấn Đức, Đỗ Hải Thanh Anh và cộng sự,. Giá trị của x quang cắt lớp điện toán trong chẩn đoán xuất huyết tiêu hóa. Tạp chí Y học thành phố Hồ Chí Minh. 2017;21(2):4.
6. Bender JS, Wiencek RG, Bouwman DL. Morbidity and mortality following total abdominal colectomy for massive lower gastrointestinal bleeding. Am Surg. Aug 1991;57(8):536-40; discussion 540-1.
7. Rösch J, Dotter CT, Brown MJ. Selective arterial embolization. A new method for control of acute gastrointestinal bleeding. Radiology. Feb 1972;102(2):303-6. doi:10.1148/102.2.303
8. Tarasconi A, Baiocchi GL, Pattonieri V, et al. Transcatheter arterial embolization versus surgery for refractory nonvariceal upper gastrointestinal bleeding: a meta-analysis. World J Emerg Surg. 2019;14:3. doi:10.1186/s13017019-0223-8
9. Senadeera SC, Vun SV, Butterfield N, Eglinton TW, Frizelle FA. Role of super-selective embolization in lower gastrointestinal bleeding. ANZ J Surg. Sep 2018;88(9):E644-e648. doi:10.1111/ans.14441
10. Vo U, Le, Le L, Cong V, Quach D. Clinical characteristics, interventions and outcomes of acute lower gastrointestinal bleeding: A multicenter study in Vietnam. MedPharmRes. 01/01 2023;7doi:10.32895/UMP.MPR.7.2.5
11. Kim JH, Shin JH, Yoon HK, et al. Angiographically negative acute arterial upper and lower gastrointestinal bleeding: incidence, predictive factors, and clinical outcomes. Korean J Radiol. Jul-Aug 2009;10(4):384-90. doi:10.3348/ kjr.2009.10.4.384
12. Kickuth R, Rattunde H, Gschossmann J, Inderbitzin D, Ludwig K, Triller J. Acute lower gastrointestinal hemorrhage: minimally invasive management with microcatheter embolization. J Vasc Interv Radiol. Sep 2008;19(9):1289-96. e2. doi:10.1016/j.jvir.2008.06.003
13. Weldon DT, Burke SJ, Sun S, Mimura H, Golzarian J. Interventional management of lower gastrointestinal bleeding. Eur Radiol. May 2008;18(5):857-67. doi:10.1007/s00330-007-0844-2 14. Nykänen T, Peltola EK, Kylänpää L, Udd M. Transcatheter Arterial Embolization in Lower Gastrointestinal Bleeding: Ischemia Remains a Concern Even with a Superselective Approach. Journal of Gastrointestinal Surgery. 2018;22:1394-1403.