ĐÁNH GIÁ HIỆU QUẢ ĐIỀU TRỊ XUẤT HUYẾT TIÊU HÓA DƯỚI CẤP TÍNH BẰNG PHƯƠNG PHÁP THUYÊN TẮC MẠCH CHỌN LỌC

Phước Lê Văn; An Đặng Nguyễn Trung; Phú Phan Hoàng Vĩnh

doi:10.59354/ydth175.2021.81

Keywords:

lower gastrointestinal bleeding, mesenteric embolization

Abstract

In this study, we aim to assess the efficacy and safety of super-selective mesenteric embolization in managing acute lower gastrointestinal bleeding (LGIB).

Method: A retrospective case series of patient with LGIB treated with super-selective mesenteric embolization in our area health service.

Results: There were 23 hospital admissions with acute lower gastrointestinal bleeding in 6-month period (from 1 January 2020 to 30 June 2020). Of these, twelve patients were embolised. Immediate haemostasis was achieved in all embolised cases. Three patients had clinical re-bleeding postembolization (25%). One patient was progressed on to surgery. Others two cases were successfully re-embolised. However, one of them was dead due to severe comorbidity (8,3%). There was no documented case of bowel ischemia or ischemic-stricture.

Conclusion: Super-selective mesenteric embolization is a viable, safe and effective management for acute LGIB.

References

Bua-Ngam C, Norasetsingh J, Treesit T, et al. (2017), “Efficacy of emergency transarterial embolization in acute lower gastrointestinal bleeding: a single-center experience”, J Diagnostic interventional imaging, Vol 98(6), pp. 499-505.

Kuo William T, Lee David E, Saad Wael EA, et al. (2003), “Superselective microcoil embolization for the treatment of lower gastrointestinal hemorrhage”, J Journal of vascular interventional radiology, Vol 14(12), pp. 1503-1509.

Kwon Joon Ho, Kim Man-Deuk, Han Kichang, et al. (2019), “Transcatheter arterial embolisation for acute lower gastrointestinal haemorrhage: a single-centre study”, J European radiology, Vol 29(1), pp. 57-67.

Soh Bryan ,Chan Steven (2017), “The use of super-selective mesenteric embolisation as a first-line management of acute lower gastrointestinal bleeding”, Annals of medicine and surgery, pp. 27-32.

Strate Lisa L ,Gralnek Ian M (2016), “Management of patients with acute lower gastrointestinal bleeding”, J The American journal of gastroenterology, Vol 111(4), pp. 459-475.

Tan Ker-Kan,Wong Daniel ,Sim Richard (2008), “Superselective embolization for lower gastrointestinal hemorrhage: an institutional review over 7 years”, J World journal of surgery, Vol 32(12), pp. 2707-2715.