Popiela Tadeusz J, Brzegowy Paweł, Paciorek Anna
Katedra Radiologii, Uniwersytet Jagielloński, Collegium Medicum.
Przegl Lek. 2013;70(5):308-12.
Perioperative mortality in the pa tients with acute haemorrhage from upper gastrointestinal tract undergo ng unsuccessful routine endoscopic procedures is relatively high. The study evaluates the effective ness of upper gastrointestinal tract arterial vessels embolization as the alternative procedure to surgery. The analyses was conducted in 48 patients who underwent unsuccessful endoscopic procedures. All patients were subjected to diagnostic angiogra phy, which allowed to localize or con firm the haemorrhage site in 37 (77%) cases. Twenty eight (58%) out of 48 analyzed patients underwent embolizaion and hemorrhage was successfully controlled in 19 (68%) of these cases There were no complications in the analyzed group related to the perfor med intravascular procedures. Intravascular embolization of upper gastrointestinal tract is the alternative to surgical operations and effective method to be used in the treatment of acute haemorrhages from upper ga strointestinal tract in the patients who underwent unsuccessful endoscopic procedures.
接受常规内镜检查未成功的上消化道急性出血患者围手术期死亡率相对较高。本研究评估上消化道动脉血管栓塞作为手术替代方法的有效性。对48例接受内镜检查未成功的患者进行了分析。所有患者均接受了诊断性血管造影，其中37例（77%）得以定位或确认出血部位。48例分析患者中有28例（58%）接受了栓塞治疗，其中19例（68%）出血得到成功控制。分析组中未发生与所实施的血管内操作相关的并发症。上消化道血管内栓塞是手术的替代方法，是用于治疗接受内镜检查未成功的患者上消化道急性出血的有效方法。
