In conclusion, therapeutic transcatheter embolization for the treatment of acute gastrointestinal hemorrhage
is highly successful and relatively safe procedure with high technical and clinical success rates, and it should be reserved as a treatment option for patients who are high risk for surgery and failed endoscopic and medical management.
Of the remaining 396 subjects, 258 patients were excluded: 90 with mechanical intestinal obstruction; 44 with history of Crohn's disease; 8 with ulcerative colitis; 42 with intra-abdominal abscess; 30 with intestinal perforation, fistula, or necrosis at inclusion; 14 with radiation enteritis; 8 with gastrointestinal hemorrhage
within 72 h; 4 with contradiction of neostigmine; 14 disconcerting with endo-scopic or surgical intervention (patients or their families); and 4 treatment abandonment.
Dieulafoy lesions are the source of 1-2% of acute gastrointestinal hemorrhage
, with 80%-95% of these lesions located in the stomach within 6 cm of the gastroesophageal junction along the lesser curvature .
Gastrointestinal complications included perforation, fistulae, intestinal obstruction and massive gastrointestinal hemorrhage
which were associated with hemodynamic instability, acute anemia, and/or the need for blood transfusion.
[4.] Longstrenth GF: Epidemiology of hospitalization for acute upper gastrointestinal hemorrhage
: A population based study.
Fatal upper gastrointestinal hemorrhage
or perforation among users and nonusers of nonsteroidal anti-inflammatory drugs in Saskatchewan, Canada 1983.
Keywords: Inflammatory bowel disease, gastrointestinal hemorrhage
, iron deficiency anemia, oral administration, intravenous administration
Acute lower gastrointestinal hemorrhage
: treatment by superselective embolization with polyvinyl alcohol particles.
It can be a source of gastrointestinal hemorrhage
. Meckel's diverticulum can get adhered to parietal peritoneum or go into a hernial sac and act as a fixed point for a volvulus.
Cotsonis, "A prospective characterization of upper gastrointestinal hemorrhage
presenting with hematochezia," American Journal of Gastroenterology, vol.
Hemosuccus pancreaticus: An uncommon cause of gastrointestinal hemorrhage
. A case report.
Brain hemorrhage occurred in 2 warfarin patients and 1 aspirin patient; gastrointestinal hemorrhage
occurred in 10 warfarin patients and 6 aspirin patients; ocular hemorrhage occurred in 4 warfarin patients and 1 aspirin patient; genitourinary hemorrhage occurred in 3 warfarin patients; aortic aneurysm occurred in 1 aspirin patient; and other bleeds occurred in 4 warfarin patients.