Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding
Background : : Increasingly interventional radiology has been used to stop uncontrolled gastrointestinal (GI) bleeding leading to a reduction in the requirement for surgical intervention. To examine the safety and efficacy of angiography and embolisation for the treatment of GI bleeding in a United...
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| Format: | Article |
| Language: | English |
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Society of Gastrointestinal Intervention
2021-01-01
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| Series: | International Journal of Gastrointestinal Intervention |
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| Online Access: | https://doi.org/10.18528/ijgii200018 |
| _version_ | 1818920054693036032 |
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| author | Thomas G. Morgan Tarryn Carlsson Eric Loveday Neil Collin Graham Collin Peter Mezes Anne M. Pullyblank |
| author_facet | Thomas G. Morgan Tarryn Carlsson Eric Loveday Neil Collin Graham Collin Peter Mezes Anne M. Pullyblank |
| author_sort | Thomas G. Morgan |
| collection | DOAJ |
| description | Background : : Increasingly interventional radiology has been used to stop uncontrolled gastrointestinal (GI) bleeding leading to a reduction in the requirement for surgical intervention. To examine the safety and efficacy of angiography and embolisation for the treatment of GI bleeding in a United Kingdom tertiary hospital. Methods : : This was a single-centre retrospective study of 112 procedures performed on 105 patients who underwent catheter angiography for GI bleeding over 7 years. Fifty procedures were for upper GI bleeding and 62 were for lower GI bleeding. Primary outcome was clinical success rate. Other measures were re-bleeding rates and 30-day mortality. Results : : In patients with upper GI bleeds, 71.6% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall, the clinical success rate was 70.4% with a 20% 30-day mortality. Technical success with embolisation was 98% with no major complications. In patients with lower GI bleeds, 50% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall clinical success rate was 83.0% with a 13.6% 30-day mortality. Technical success with embolisation was 100% with no major complications. Conclusion : : Catheter directed angiography and embolisation is safe and efficacious in patients with GI bleeding who have a positive computed tomography angiogram and should be considered as an alternative to surgery. |
| first_indexed | 2024-12-20T01:15:39Z |
| format | Article |
| id | doaj.art-6140eef9ac0e4911ac6f12baae5c98b5 |
| institution | Directory Open Access Journal |
| issn | 2636-0004 |
| language | English |
| last_indexed | 2024-12-20T01:15:39Z |
| publishDate | 2021-01-01 |
| publisher | Society of Gastrointestinal Intervention |
| record_format | Article |
| series | International Journal of Gastrointestinal Intervention |
| spelling | doaj.art-6140eef9ac0e4911ac6f12baae5c98b52022-12-21T19:58:34ZengSociety of Gastrointestinal InterventionInternational Journal of Gastrointestinal Intervention2636-00042021-01-01101172210.18528/ijgii20001810.ijgii200018Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleedingThomas G. Morgan0Tarryn Carlsson1Eric Loveday2Neil Collin3Graham Collin4Peter Mezes5Anne M. Pullyblank6Dpeartment of Surgery, University of Auckland, Auckland, New ZealandDepartments of Radiology, Southmead Hospital, Bristol, UKDepartments of Radiology, Southmead Hospital, Bristol, UKDepartments of Radiology, Southmead Hospital, Bristol, UKDepartments of Radiology, Southmead Hospital, Bristol, UKDepartments of Radiology, Southmead Hospital, Bristol, UKDepartments of Surgery, Southmead Hospital, Bristol, UKBackground : : Increasingly interventional radiology has been used to stop uncontrolled gastrointestinal (GI) bleeding leading to a reduction in the requirement for surgical intervention. To examine the safety and efficacy of angiography and embolisation for the treatment of GI bleeding in a United Kingdom tertiary hospital. Methods : : This was a single-centre retrospective study of 112 procedures performed on 105 patients who underwent catheter angiography for GI bleeding over 7 years. Fifty procedures were for upper GI bleeding and 62 were for lower GI bleeding. Primary outcome was clinical success rate. Other measures were re-bleeding rates and 30-day mortality. Results : : In patients with upper GI bleeds, 71.6% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall, the clinical success rate was 70.4% with a 20% 30-day mortality. Technical success with embolisation was 98% with no major complications. In patients with lower GI bleeds, 50% of cases had a bleeding point that was identified at the time of initial catheter angiogram. Overall clinical success rate was 83.0% with a 13.6% 30-day mortality. Technical success with embolisation was 100% with no major complications. Conclusion : : Catheter directed angiography and embolisation is safe and efficacious in patients with GI bleeding who have a positive computed tomography angiogram and should be considered as an alternative to surgery.https://doi.org/10.18528/ijgii200018endoscopic hemostasis; gastrointestinal hemorrhage; hematochezia; melena; peptic ulcer hemorrhage |
| spellingShingle | Thomas G. Morgan Tarryn Carlsson Eric Loveday Neil Collin Graham Collin Peter Mezes Anne M. Pullyblank Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding International Journal of Gastrointestinal Intervention endoscopic hemostasis; gastrointestinal hemorrhage; hematochezia; melena; peptic ulcer hemorrhage |
| title | Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| title_full | Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| title_fullStr | Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| title_full_unstemmed | Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| title_short | Needle or knife? The role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| title_sort | needle or knife the role of interventional radiology in managing uncontrolled gastrointestinal bleeding |
| topic | endoscopic hemostasis; gastrointestinal hemorrhage; hematochezia; melena; peptic ulcer hemorrhage |
| url | https://doi.org/10.18528/ijgii200018 |
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