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Angiographic diagnosis and intervention in iatrogenic gastrointestinal hemorrhage: report of five cases

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Abstract

We present five patients with iatrogenic gastrointestinal hemorrhage. In all cases angiography was successful in localizing the site of bleeding. In four cases transcatheter etnbolization therapy with Gelfoarn particles or Gianturco coils was carried out. This was completely successful in three patients and partially successful in the fourth. Complications occurred in two patients.

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References

  1. 1.

    Athow AC, Sheppard L, Sibson DE (1985) Selective visceral angiography for unexplained acute gastrointestinal bleeding in a district general hospital. Br J Surg 72: 120–122

  2. 2.

    Geller SC, Athanasoulis CA (1985) The intestinal tract. Clin Gastroenterol 14: 295–312

  3. 3.

    Browder W, Cerise EJ, Litwin MS (1986) Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg 204: 530–536

  4. 4.

    Kerlan RK Jr, Pogany AC, Burke DR, Ring EJ (1986) Angiographic management of upper gastrointestinal hemorrhage (clinical conference). AJR 147: 1185–1188

  5. 5.

    Tillotson CL, Geller SC, Kantrowitz L, Echstein MR, Waltman AC, Athanasoulis CA (1988) Small bowel hemorrhage: angiographic localization and intervention. Gastrointest Radiol 13: 207–211

  6. 6.

    Lau WY, Ngan H, Chu KW, Yuen WK (1989) Repeat selective visceral angiography in patients with gastrointestinal bleeding of obscure origin. Br J Surg 76: 226–229

  7. 7.

    Dempsey DT, Burke DR, Reilly RS, McLean GU, Rosato EF (1990) Angiography in poor-risk patients with massive nonvariceal upper gastrointestinal bleeding. Am J Surg 159: 282–286

  8. 8.

    Gomes AS, Lois JF, Mc Coy RD (1986) Angiographic treatment of gastrointestinal hemorrhage: comparison of vasopressin infusion and embolization. AIR 146: 1031–1037

  9. 9.

    Saeed M, Kadir S, Kaufman SL, Murray RR, Milligan F, Cotton PB (1989) Bleeding following endoscopic sphincterotomy: angiography management by transcatheter embolization. Gastrointest Endosc 35: 300–303

  10. 10.

    Sebrechts C, Bookstein JJ (1988) Embolization in the management of lower-gastrointestinal hemorrhage. Semin Intervent Radiol 5: 39–48

  11. 11.

    Nöldge G, Grosser G, Kauffmann GW, Wenz W (1982) Angiographic changes after selective and superselective embolization of branches of superior mesenteric artery in the small bowel of the dog. Hepatogastroenterology 29: 209–212

  12. 12.

    Gerlock AJ, Muhletaler CA, Berger JL, Halter SA, O'Leary JP, Avant GR (1981) Infarction after embolization of the ileocolic artery. Cardiovasc Intervent Radiol 4: 202–205

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Correspondence to R. E. Fokkema.

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Fokkema, R.E., De Schepper, A.M.A. Angiographic diagnosis and intervention in iatrogenic gastrointestinal hemorrhage: report of five cases. Eur. Radiol. 2, 66–69 (1992). https://doi.org/10.1007/BF00714185

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Key words

  • Angiography
  • Iatrogenic gastrointestinal hemorrhage
  • Embolization