Andersen Poul Erik, Duvnjak Stevo
Poul Erik Andersen, Stevo Duvnjak, Department of Radiology, Odense University Hospital, Sdr. Boulevard, DK-5000 Odense C, Denmark.
World J Radiol. 2010 Jul 28;2(7):257-61. doi: 10.4329/wjr.v2.i7.257.
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.
经导管动脉栓塞术作为治疗上消化道非静脉曲张性出血的方法，在初次内镜治疗失败后越来越多地被采用。栓塞术后的效果越来越好，而手术的死亡率仍然很高。栓塞术是一种安全有效的方法，但其应用受到限制，原因是再出血率相对较高以及死亡率较高，这两者都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，且不涉及与治疗相关的高并发症风险。对这些患者进行治疗需要采取多学科方法，应包括胃肠病学家、介入放射学家、麻醉学家和外科医生，以取得尽可能好的效果。
