Refractory gastrointestinal bleeding: role of angiographic intervention

Clin Endosc. 2013 Sep;46(5):486-91. doi: 10.5946/ce.2013.46.5.486. Epub 2013 Sep 30.

Abstract

Although endoscopic hemostasis remains initial treatment modality for nonvariceal gastrointestinal (GI) bleeding, severe bleeding despite endoscopic management occurs in 5% to 10% of the patients, requiring surgery or transcatheter arterial embolization (TAE). TAE is now considered the first-line therapy for massive GI bleeding refractory to endoscopic management. GI endoscopists need to be familiar with indications, principles, outcomes, and complications of TAE, as well as embolic materials available.

Keywords: Embolization; Gastrointestinal tract; Hemorrhage.

Publication types

  • Review