Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study
Abstract Background Gastric remnant bleeding is a special case of upper gastrointestinal bleeding with certain specific disease characteristics, and some matters of transcatheter arterial embolization (TAE) for hemostasis need attention. In this study, we aimed to explore the clinical use of TAE in...
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BMC
2024-03-01
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| Series: | BMC Gastroenterology |
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| Online Access: | https://doi.org/10.1186/s12876-024-03179-x |
| _version_ | 1797274434541715456 |
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| author | Weida Wu Jianyang Peng Guohui Zhou Chunsheng Zhang Yuanzhen Lin Zhicheng Weng |
| author_facet | Weida Wu Jianyang Peng Guohui Zhou Chunsheng Zhang Yuanzhen Lin Zhicheng Weng |
| author_sort | Weida Wu |
| collection | DOAJ |
| description | Abstract Background Gastric remnant bleeding is a special case of upper gastrointestinal bleeding with certain specific disease characteristics, and some matters of transcatheter arterial embolization (TAE) for hemostasis need attention. In this study, we aimed to explore the clinical use of TAE in patients with nonvariceal gastric remnant bleeding and identify the factors influencing the clinical efficacy of these interventions. Methods Data were retrospectively analyzed from 42 patients for whom angiography and embolization were performed but could not be treated endoscopically or had failed endoscopic management in our department between January 2018 and January 2023 due to nonvariceal gastric remnant bleeding. We investigated the relationship between the incidence of re-bleeding and the following variables: sex, age, pre-embolization gastroscopy/contrast-enhanced computer tomography, embolization method, aortography performance, use of endoscopic titanium clips, and the presence of collateral gastric-supplying arteries. Results Forty-two patients underwent 47 interventional embolizations. Of these, 16 were positive for angiographic findings, and 26 were negative. Based on arteriography results, different embolic agents were selected, and the technical success rate was 100%. The incidence of postoperative re-bleeding was 19.1% (9/47), and the overall clinical success rate was 81.0% (34/42). Logistic regression analysis of the relationship between the incidence of early re-bleeding following embolization and the proportion of collateral gastric supply arteries revealed an odds ratio of 10.000 (p = 0.014). Conclusions Utilizing TAE for nonvariceal gastric remnant bleeding is safe and effective. The omission of collateral gastric-supplying arteries can lead to early re-bleeding following an intervention. |
| first_indexed | 2024-03-07T14:58:19Z |
| format | Article |
| id | doaj.art-3deb664729ff4e1b83e193518dc1d8e7 |
| institution | Directory Open Access Journal |
| issn | 1471-230X |
| language | English |
| last_indexed | 2024-03-07T14:58:19Z |
| publishDate | 2024-03-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Gastroenterology |
| spelling | doaj.art-3deb664729ff4e1b83e193518dc1d8e72024-03-05T19:18:02ZengBMCBMC Gastroenterology1471-230X2024-03-012411910.1186/s12876-024-03179-xEfficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year studyWeida Wu0Jianyang Peng1Guohui Zhou2Chunsheng Zhang3Yuanzhen Lin4Zhicheng Weng5Department of Interventional and Vascular Surgery, The Affiliated Hospital of Putian UniversityDepartment of Interventional and Vascular Surgery, The Affiliated Hospital of Putian UniversityDepartment of Interventional and Vascular Surgery, The Affiliated Hospital of Putian UniversityDepartment of Interventional and Vascular Surgery, The Affiliated Hospital of Putian UniversityDepartment of Interventional and Vascular Surgery, The Affiliated Hospital of Putian UniversitySchool Of Clinical Medicine, Fujian Medical UniversityAbstract Background Gastric remnant bleeding is a special case of upper gastrointestinal bleeding with certain specific disease characteristics, and some matters of transcatheter arterial embolization (TAE) for hemostasis need attention. In this study, we aimed to explore the clinical use of TAE in patients with nonvariceal gastric remnant bleeding and identify the factors influencing the clinical efficacy of these interventions. Methods Data were retrospectively analyzed from 42 patients for whom angiography and embolization were performed but could not be treated endoscopically or had failed endoscopic management in our department between January 2018 and January 2023 due to nonvariceal gastric remnant bleeding. We investigated the relationship between the incidence of re-bleeding and the following variables: sex, age, pre-embolization gastroscopy/contrast-enhanced computer tomography, embolization method, aortography performance, use of endoscopic titanium clips, and the presence of collateral gastric-supplying arteries. Results Forty-two patients underwent 47 interventional embolizations. Of these, 16 were positive for angiographic findings, and 26 were negative. Based on arteriography results, different embolic agents were selected, and the technical success rate was 100%. The incidence of postoperative re-bleeding was 19.1% (9/47), and the overall clinical success rate was 81.0% (34/42). Logistic regression analysis of the relationship between the incidence of early re-bleeding following embolization and the proportion of collateral gastric supply arteries revealed an odds ratio of 10.000 (p = 0.014). Conclusions Utilizing TAE for nonvariceal gastric remnant bleeding is safe and effective. The omission of collateral gastric-supplying arteries can lead to early re-bleeding following an intervention.https://doi.org/10.1186/s12876-024-03179-xGastric remnant bleedingCollateral gastric-supplying arteriesEndoscopic clipsBleeding recurrenceAortography |
| spellingShingle | Weida Wu Jianyang Peng Guohui Zhou Chunsheng Zhang Yuanzhen Lin Zhicheng Weng Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study BMC Gastroenterology Gastric remnant bleeding Collateral gastric-supplying arteries Endoscopic clips Bleeding recurrence Aortography |
| title | Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study |
| title_full | Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study |
| title_fullStr | Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study |
| title_full_unstemmed | Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study |
| title_short | Efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding: a retrospective 5-year study |
| title_sort | efficacy of transcatheter arterial embolization in treating nonvariceal gastric remnant bleeding a retrospective 5 year study |
| topic | Gastric remnant bleeding Collateral gastric-supplying arteries Endoscopic clips Bleeding recurrence Aortography |
| url | https://doi.org/10.1186/s12876-024-03179-x |
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