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本文引用的文献

1
ACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding.美国胃肠病学会临床指南：小肠出血的诊断与管理
Am J Gastroenterol. 2015 Sep;110(9):1265-87; quiz 1288. doi: 10.1038/ajg.2015.246. Epub 2015 Aug 25.
2
Transcatheter arterial embolization for acute nonvariceal upper gastrointestinal bleeding: Indications, techniques and outcomes.经导管动脉栓塞治疗急性非静脉曲张性上消化道出血：适应证、技术和结果。
Diagn Interv Imaging. 2015 Jul-Aug;96(7-8):731-44. doi: 10.1016/j.diii.2015.05.002. Epub 2015 Jun 6.
3
What if endoscopic hemostasis fails? Alternative treatment strategies: interventional radiology.如果内镜止血失败会怎样？替代治疗策略：介入放射学。
Gastroenterol Clin North Am. 2014 Dec;43(4):739-52. doi: 10.1016/j.gtc.2014.08.013. Epub 2014 Oct 24.
4
Superselective arterial embolization of the superior mesenteric artery for the treatment of gastrointestinal hemorrhage following allogeneic hematopoietic stem cell transplantation.经导管超选择性肠系膜上动脉栓塞术治疗异基因造血干细胞移植术后胃肠道出血
Patient Prefer Adherence. 2014 Nov 13;8:1581-5. doi: 10.2147/PPA.S72875. eCollection 2014.
5
Outcomes of transcatheter arterial embolization for acute hemorrhage originating from gastric adenocarcinoma.经导管动脉栓塞术治疗胃腺癌急性出血的疗效
J Vasc Interv Radiol. 2014 Jun;25(6):847-51. doi: 10.1016/j.jvir.2014.02.005. Epub 2014 Mar 19.
6
Angiographic embolization is an effective treatment of severe hemorrhage in pancreatitis.血管造影栓塞术是治疗胰腺炎严重出血的有效方法。
Pancreas. 2014 Apr;43(3):436-9. doi: 10.1097/MPA.0000000000000051.
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Efficacy of intra-arterial treatment for massive gastrointestinal bleeding in hemodialysis patients.
Ther Apher Dial. 2014 Feb;18(1):24-30. doi: 10.1111/1744-9987.12062. Epub 2013 Jul 3.
8
Massive hemobilia: a diagnostic and therapeutic challenge.大量胆道出血：诊断与治疗的挑战
World J Surg. 2014 Jul;38(7):1755-62. doi: 10.1007/s00268-013-2435-5.
9
Upper gastrointestinal bleeding.上消化道出血。
Surg Clin North Am. 2014 Feb;94(1):43-53. doi: 10.1016/j.suc.2013.10.004.
10
Bleeding after expandable nitinol stent placement in patients with esophageal and upper gastrointestinal obstruction: incidence, management, and predictors.可扩张镍钛诺支架置入治疗食管及上消化道梗阻患者后的出血：发生率、处理及预测因素
Acta Radiol. 2014 Nov;55(9):1069-75. doi: 10.1177/0284185113511080. Epub 2013 Nov 13.

非静脉曲张性上消化道出血合并肠缺血的栓塞治疗

Embolization of Nonvariceal Upper Gastrointestinal Hemorrhage Complicated by Bowel Ischemia.

作者信息

Foltz Gretchen, Khaddash Tamim

机构信息

Section of Interventional Radiology, Department of Radiology, Washington University St. Louis - School of Medicine, St. Louis, Missouri.

出版信息

Semin Intervent Radiol. 2019 Jun;36(2):76-83. doi: 10.1055/s-0039-1688419. Epub 2019 May 22.

DOI:10.1055/s-0039-1688419
PMID:31123376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6531212/
Abstract

Over the past three decades, transcatheter arterial embolization has become the first-line therapy for the management of acute nonvariceal upper gastrointestinal bleeding refractory to endoscopic hemostasis. Overall, transcatheter arterial interventions have high technical and clinical success rates. This review will focus on patient presentation and technical considerations as predictors of complications from transcatheter arterial embolization in the management of acute upper gastrointestinal hemorrhage.

摘要

在过去三十年中，经导管动脉栓塞术已成为治疗内镜止血无效的急性非静脉曲张性上消化道出血的一线疗法。总体而言，经导管动脉介入治疗具有较高的技术成功率和临床成功率。本综述将重点关注患者表现和技术因素，这些因素可作为经导管动脉栓塞术治疗急性上消化道出血时并发症的预测指标。