Display options
Cite
Walker TG, Salazar GM, Waltman AC. Angiographic evaluation and management of acute gastrointestinal hemorrhage. World J Gastroenterol. 2012;18(11):1191-201doi: 10.3748/wjg.v18.i11.1191.
Walker, T. G., Salazar, G. M., & Waltman, A. C. (2012). Angiographic evaluation and management of acute gastrointestinal hemorrhage. World journal of gastroenterology, 18(11), 1191-201. https://doi.org/10.3748/wjg.v18.i11.1191
Walker, T Gregory, et al. "Angiographic evaluation and management of acute gastrointestinal hemorrhage." World journal of gastroenterology vol. 18,11 (2012): 1191-201. doi: https://doi.org/10.3748/wjg.v18.i11.1191
Walker TG, Salazar GM, Waltman AC. Angiographic evaluation and management of acute gastrointestinal hemorrhage. World J Gastroenterol. 2012 Mar 21;18(11):1191-201. doi: 10.3748/wjg.v18.i11.1191. PMID: 22468082; PMCID: PMC3309908.
Copy Download .nbib Format: NLM
Share it on

World J Gastroenterol. 2012 Mar 21;18(11):1191-201. doi: 10.3748/wjg.v18.i11.1191.

Angiographic evaluation and management of acute gastrointestinal hemorrhage.

World journal of gastroenterology

T Gregory Walker, Gloria M Salazar, Arthur C Waltman

Affiliations

  1. Division of Vascular Imaging and Intervention, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, United States. [email protected]

PMID: 22468082 PMCID: PMC3309908 DOI: 10.3748/wjg.v18.i11.1191

Abstract

Although most cases of acute nonvariceal gastrointestinal hemorrhage either spontaneously resolve or respond to medical management or endoscopic treatment, there are still a significant number of patients who require emergency angiography and transcatheter treatment. Evaluation with noninvasive imaging such as nuclear scintigraphy or computed tomography may localize the bleeding source and/or confirm active hemorrhage prior to angiography. Any angiographic evaluation should begin with selective catheterization of the artery supplying the most likely site of bleeding, as determined by the available clinical, endoscopic and imaging data. If a hemorrhage source is identified, superselective catheterization followed by transcatheter microcoil embolization is usually the most effective means of successfully controlling hemorrhage while minimizing potential complications. This is now well-recognized as a viable and safe alternative to emergency surgery. In selected situations transcatheter intra-arterial infusion of vasopressin may also be useful in controlling acute gastrointestinal bleeding. One must be aware of the various side effects and potential complications associated with this treatment, however, and recognize the high re-bleeding rate. In this article we review the current role of angiography, transcatheter arterial embolization and infusion therapy in the evaluation and management of nonvariceal gastrointestinal hemorrhage.

Keywords: Aneurysm; Angiodysplasia; Contrast media; Digital subtraction angiography; Hemorrhage; Radionuclide angiography; Therapeutic embolization

References

  1. J Vasc Interv Radiol. 2001 Dec;12(12):1399-405 - PubMed
  2. Radiology. 2001 Mar;218(3):739-48 - PubMed
  3. J Vasc Interv Radiol. 2001 Nov;12(11):1263-71 - PubMed
  4. J Vasc Interv Radiol. 2009 Oct;20(10):1312-9 - PubMed
  5. Am J Gastroenterol. 1996 Jun;91(6):1287-8 - PubMed
  6. Eur Radiol. 2003 Dec;13(12):2604-14 - PubMed
  7. J Vasc Interv Radiol. 1993 Nov-Dec;4(6):737-9 - PubMed
  8. Am J Surg. 1975 Feb;129(2):212-6 - PubMed
  9. J Vasc Interv Radiol. 2001 Nov;12(11):1273-7 - PubMed
  10. AJR Am J Roentgenol. 1987 May;148(5):869-74 - PubMed
  11. J Radiol Electrol Med Nucl. 1978 Jun-Jul;59(6-7):435 - PubMed
  12. Am J Surg. 1972 Feb;123(2):165-72 - PubMed
  13. Hepatology. 1986 May-Jun;6(3):410-3 - PubMed
  14. AJR Am J Roentgenol. 1981 Jun;136(6):1185-9 - PubMed
  15. Arch Surg. 1991 Jul;126(7):821-4 - PubMed
  16. Semin Nucl Med. 1982 Apr;12(2):139-46 - PubMed
  17. Adv Surg. 1973;7:95-148 - PubMed
  18. Curr Surg. 2001 May;58(3):323-327 - PubMed
  19. Surg Forum. 1963;14:374-5 - PubMed
  20. AJR Am J Roentgenol. 2001 Oct;177(4):829-36 - PubMed
  21. J Vasc Interv Radiol. 2003 Dec;14(12):1503-9 - PubMed
  22. J Vasc Interv Radiol. 1995 Jul-Aug;6(4):531-6 - PubMed
  23. Eur Radiol. 2010 Aug;20(8):1994-9 - PubMed
  24. Tech Vasc Interv Radiol. 2004 Sep;7(3):143-50 - PubMed
  25. Invest Radiol. 1996 Jul;31(7):451-7 - PubMed
  26. J Nucl Med. 1998 Jun;39(6):1081-3 - PubMed
  27. Radiology. 1971 Mar;98(3):497-505 - PubMed
  28. Am J Gastroenterol. 2000 Oct;95(10):2807-12 - PubMed

MeSH terms

Publication Types