在尖锐胃肠的流血的管理的 interventional 辐射学的角色

• 作者: Hans C Mouser Hyung Won Choi Kazim H Narsinh Kevin C McCammack Raja S Ramaswamy Tharintorn Treesit Thomas B Kinney
• 来源期刊: 世界放射学杂志：英文版（电子版）
• 学科: 医学
• 关键词: INTERVENTIONAL RADIOLOGY ANGIOGRAPHY Therapeutic management Upper GASTROINTESTINAL BLEEDING Lower GASTROINTESTINAL BLEEDING EMBOLIZATION
• 年，卷（期）: 2014,（4）
• 页码范围: 82-92
• 页数: 11页
• 分类号: R573.2

摘要

Acute gastrointestinal bleeding(GIB) can lead to significant morbidity and mortality without appropriate treatment. There are numerous causes of acute GIB including but not limited to infection, vascular anomalies, inflammatory diseases, trauma, and malignancy. The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment. Radiology offers diagnostic imaging studies and endovascular therapeutic interventions that can be performed promptly and effectively with successful outcomes. Computed tomography angiography and nuclear scintigraphy can localize the source of bleeding and provide essential information for the interventional radiologist to guide therapeutic management with endovascular angiography and transcatheter embolization. This review article provides insight into the essential role of Interventional Radiology in the management of acute GIB.