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Am J Surg. 2005 Mar;189(3):361-3.

Safety and efficacy of superselective angioembolization in control of lower gastrointestinal hemorrhage.

Author information

1
Department of Colon and Rectal Surgery, William Beaumont Hospital, 3601 West 13 Mile Rd, Royal Oak, MI 48073, USA. hiho70@yahoo.com

Abstract

BACKGROUND:

We evaluated the safety and efficacy of angioembolization to control lower gastrointestinal hemorrhage.

METHODS:

Retrospective chart review of patients undergoing angiography for lower gastrointestinal hemorrhage from January 2000 to December 2002.

RESULTS:

Seventy-seven patients with lower gastrointestinal hemorrhage underwent mesenteric angiography. Angioembolization was performed in 11 patients. Sixty-six patients were not embolized; 47 of these were treated medically and 19 surgically. Mortality rate was not significantly different in patients treated surgically (3 of 19, 16%) versus those managed medically (6 of 47, 13%; P = 0.746). Of the 11 patients who were embolized, 10 had immediate cessation of hemorrhage, 7 had gastrointestinal ischemia, and 6 died (55%). Overall mortality in non-embolized patients was 9 of 66 (14%; P = 0.002 versus mortality in embolized patients).

CONCLUSIONS:

Angioembolization, though effective at controlling hemorrhage, is associated with ischemic complications and a high mortality rate. Our data support surgical or medical management for lower gastrointestinal hemorrhage.

PMID:
15792770
DOI:
10.1016/j.amjsurg.2004.11.024
[Indexed for MEDLINE]

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