Department of Radiology and Research Institute of Radiology, University of Ulsan College of Medicine, Asan Medical Center, Seoul 138-736, Korea.
Korean J Radiol. 2012 Jan-Feb;13 Suppl 1(Suppl 1):S31-9. doi: 10.3348/kjr.2012.13.S1.S31. Epub 2012 Apr 23.
Nonvariceal upper gastrointestinal (UGI) bleeding is a frequent complication with significant morbidity and mortality. Although endoscopic hemostasis remains the initial treatment modality, severe bleeding despite endoscopic management occurs in 5-10% of patients, necessitating surgery or interventional embolotherapy. Endovascular embolotherapy is now considered the first-line therapy for massive UGI bleeding that is refractory to endoscopic management. Interventional radiologists need to be familiar with the choice of embolic materials, technical aspects of embolotherapy, and the factors affecting the favorable or unfavorable outcomes after embolotherapy for UGI bleeding.
非静脉曲张性上消化道(UGI)出血是一种常见的并发症,具有较高的发病率和死亡率。尽管内镜止血仍然是初始治疗方法,但在接受内镜治疗的患者中,仍有 5-10%会出现严重出血,需要手术或介入栓塞治疗。对于内镜治疗无效的大量 UGI 出血,血管内栓塞治疗现在被认为是首选治疗方法。介入放射科医生需要熟悉栓塞材料的选择、栓塞治疗的技术方面,以及影响 UGI 出血栓塞治疗后有利或不利结果的因素。