Transcatheter arterial embolization should be the salvage treatment of choice in all patients with bleeding from duodenal ulcers resistant to endoscopic hemostasis.

摘要

TO THE EDITOR: We read with great interest the article by Venclauskas et al. [1] published recently in the Scandinavian Journal of Gastroenterology and comparing results of transcatheter arterial embolization (TAE) and surgery in patients with massive bleeding from duodenal ulcers. We have several comments. Arterial embolization is now accepted as the salvage treatment of choice for acute bleeding from duodenal ulcers despite endoscopic treatment. Many published studies confirm the feasibility of this approach and the high technical and clinical success rates, ranging from 91% to 100% and from 63% to 100%, respectively [2-4].