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血管内栓塞术用于治疗一名具有多种高危因素的胃溃疡出血患者。

Use of Endovascular Coiling to Stop Gastric Ulcer Bleeding in a Patient With Extensive Risk Factors.

作者信息

Ali Hassam, Sana Momal, Pamarthy Rahul, Rahat Eiman, Sarfraz Shiza

机构信息

Internal Medicine, East Carolina University, Vidant Medical Center, Greenville, USA.

Internal Medicine, Dorevitch Pathology, Heidelberg, AUS.

出版信息

Cureus. 2021 Jul 4;13(7):e16164. doi: 10.7759/cureus.16164. eCollection 2021 Jul.

Abstract

Peptic ulcer disease (PUD) can lead to life-threatening bleeding. Endoscopy is a primary intervention used to locate the site of bleeding and maintain hemostasis. When considering multiple risk factors to operative intervention or failed initial endoscopic procedure in patients, the preferred treatment for acute gastrointestinal bleeding remains endovascular coiling to embolize the culprit's vessel. We report a case of a 57-year-old female who presents with melena secondary to gastric ulcer not amenable to endoscopic interventions. Various embolization techniques are available demanding clinicians' attention towards their role in managing ulcer bleeds and their impact on the controlling bleeds.

摘要

消化性溃疡疾病(PUD)可导致危及生命的出血。内镜检查是用于定位出血部位并维持止血的主要干预措施。在考虑对患者进行手术干预的多种风险因素或初始内镜手术失败时,急性胃肠道出血的首选治疗方法仍然是血管内线圈栓塞以栓塞出血血管。我们报告了一例57岁女性患者,该患者因胃溃疡出现黑便,无法接受内镜干预。有多种栓塞技术可供使用,这要求临床医生关注它们在处理溃疡出血中的作用及其对控制出血的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a9b4/8330615/33ce755057f3/cureus-0013-00000016164-i01.jpg

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