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Endovascular treatment of nonvariceal acute arterial upper gastrointestinal bleeding

机译:血管内治疗非静脉曲张性急性上消化道出血

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摘要

Transcatheter arterial embolization as treatment of upper nonvariceal gastrointestinal bleeding is increasingly being used after failed primary endoscopic treatment. The results after embolization have become better and surgery still has a high mortality. Embolization is a safe and effective procedure, but its use is has been limited because of relatively high rates of rebleeding and high mortality, both of which are associated with gastrointestinal bleeding and non-gastrointestinal related mortality causes. Transcatheter arterial embolization is a valuable minimal invasive method in the treatment of early rebleeding and does not involve a high risk of treatment associated complications. A multidisciplinary approach is necessary in the treatment of these patients and should comprise gastroenterologists, interventional radiologists, anaesthesiologists, and surgeons to achieve the best possible results.
机译:原发性内镜治疗失败后,越来越多地采用经导管动脉栓塞治疗上非静脉曲张性胃肠道出血。栓塞后的效果更好,手术死亡率仍然很高。栓塞术是一种安全有效的方法,但是由于相对较高的再出血率和较高的死亡率,因此栓塞的使用受到了限制,这两者均与胃肠道出血和非胃肠道相关的死亡原因有关。经导管动脉栓塞术是治疗早期再出血的一种有价值的微创方法,并且不涉及与治疗相关的并发症的高风险。在这些患者的治疗中,必须采取多学科的方法,并且应包括肠胃科医生,介入放射科医生,麻醉师和外科医生,以取得最佳效果。

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