Samlowski Erika, Okwuosa Chris, Tashjian Nara, Wagner Michel
Department of Surgery, Creighton University Medical Center at Bergan Mercy, Omaha, NE.
ACG Case Rep J. 2019 Nov 27;6(11):e00283. doi: 10.14309/crj.0000000000000283. eCollection 2019 Nov.
Resuscitative endovascular balloon occlusion of the aorta (REBOA) is designed to control traumatic intra-abdominal or pelvic hemorrhage. There are few case reports of REBOA use in nontraumatic gastrointestinal (GI) hemorrhage. A 53-year-old man with pancreatic cancer status post Whipple procedure presented with GI hemorrhage from the gastroduodenal artery. Endoscopy and angioembolization were unsuccessful at stopping the hemorrhage. REBOA was used to stabilize the patient until definitive surgical control. REBOA is a potentially lifesaving measure in cases of massive abdominal or pelvic hemorrhage. REBOA can be used as an adjunct in unstable patients with GI bleeding until definitive GI, interventional radiology, or surgical control.
主动脉内复苏球囊阻断术（REBOA）旨在控制创伤性腹腔内或盆腔出血。关于REBOA用于非创伤性胃肠道（GI）出血的病例报告很少。一名53岁的男性，在Whipple手术后患有胰腺癌，出现胃十二指肠动脉引起的胃肠道出血。内镜检查和血管栓塞术未能止血。REBOA被用于稳定患者病情，直至进行确定性手术控制。REBOA在大量腹腔或盆腔出血的情况下是一种潜在的挽救生命的措施。REBOA可作为不稳定胃肠道出血患者的辅助手段，直至进行确定性的胃肠道、介入放射学或手术控制。
