Endovascular Arterial Embolization in the Treatment of Gastroduodenal Ulcer Bleeding
- Authors: Soloviev IA1, Musinov IM1, Chikin AE2, Ganin AS2
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Affiliations:
- Военно-медицинская академия им. С.М. Кирова
- Александровская больница
- Issue: Vol 20, No 3 (2018)
- Pages: 7-11
- Section: Articles
- URL: https://journals.rcsi.science/1682-7392/article/view/12210
- DOI: https://doi.org/10.17816/brmma12210
- ID: 12210
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Abstract
Currently, it is possible to improve the outcome of the treatment of gastroduodenal ulcer bleeding by reducing the mortality, primarily in patients with a persistent high risk of rebleeding against the background of the conservative treatment and high operational risk. Unacceptably high postoperative mortality in high-risk surgical patients reaching 60%, often forces the surgeons to use the conservative treatment for these patients, which often leads to rebleeding, open surgery despite the high risk and unsatisfactory outcome of the treatment. A minimally invasive technique such as transcatheter embolization of the gastric and duodenal arteries in gastrointestinal ulcer bleeding, allowing to affect the source of bleeding by endovascularization with a minimal surgical trauma, made it possible to achieve hemostasis in 60 of 61 patients (98%). Rebleeding after arterial embolization occurred in 3 patients (5%). In 51 patients (85%), endovascular hemostasis was permanent. Additionally, 6 patients (10%) underwent delayed surgery at different times after arterial embolization. Overall mortality in high-risk surgical patients was 9.2% and was not related to arterial embolization, which compares this data favorably with many literary sources. With its impact, arterial embolization with an adhesive composite based on N-butyl-2-cyanoacrylate is an alternative to the surgical treatment of gastroduodenal ulcer bleeding and an operation of choice for high-risk surgical patients.
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##article.viewOnOriginalSite##About the authors
I A Soloviev
Военно-медицинская академия им. С.М. Кирова
Email: vmeda-nio@mil.ru
Санкт-Петербург
I M Musinov
Военно-медицинская академия им. С.М. Кирова
Email: vmeda-nio@mil.ru
Санкт-Петербург
A E Chikin
Александровская больницаСанкт-Петербург
A S Ganin
Александровская больницаСанкт-Петербург
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