Li Shihong, Oshea Brendan, Sun Shiliang
University of Iowa Health Care, Department of Radiology, Division of Interventional Radiology. Iowa City, Iowa, 52242, USA.
J Interv Med. 2019 Sep 14;2(3):101-105. doi: 10.1016/j.jimed.2019.09.007. eCollection 2019 Aug.
Despite the rapid development of diagnostic and therapeutic modalities and techniques to manage LGIB patients from interventional radiology's standpoint, a successful localization of the bleeding site that leads to an effective embolotherapy remains a significant technical challenge. The interventional radiologist's decisions when managing patients with LGIB may significantly impact the clinical outcomes; therefore, management should be made based on careful and thorough considerations of factors such as etiology, locations, patient's comorbidities, and potential post-procedure complications, among others. The purpose of this paper is to review the management of LGIB by interventional radiology, focusing on a few challenging and common clinical situations that require special consideration by interventional radiologists.
尽管从介入放射学的角度来看，用于管理下消化道出血（LGIB）患者的诊断和治疗方式及技术发展迅速，但成功定位出血部位并进行有效的栓塞治疗仍然是一项重大的技术挑战。介入放射科医生在管理LGIB患者时所做的决策可能会对临床结果产生重大影响；因此，应在仔细全面考虑病因、位置、患者合并症以及潜在的术后并发症等因素的基础上进行管理。本文的目的是回顾介入放射学对LGIB的管理，重点关注一些具有挑战性且常见的临床情况，这些情况需要介入放射科医生特别考虑。
