MANAGEMENT OF ACUTE LOWER GASTROINTESTINAL BLEEDING BY USING SUPER-SELECTIVE MESENTERIC EMBOLIZATION
DOI:
https://doi.org/10.59354/ydth175.2021.81Keywords:
lower gastrointestinal bleeding, mesenteric embolizationAbstract
In this study, we aim to assess the efficacy and safety of super-selective mesenteric embolization in managing acute lower gastrointestinal bleeding (LGIB).
Method: A retrospective case series of patient with LGIB treated with super-selective mesenteric embolization in our area health service.
Results: There were 23 hospital admissions with acute lower gastrointestinal bleeding in 6-month period (from 1 January 2020 to 30 June 2020). Of these, twelve patients were embolised. Immediate haemostasis was achieved in all embolised cases. Three patients had clinical re-bleeding postembolization (25%). One patient was progressed on to surgery. Others two cases were successfully re-embolised. However, one of them was dead due to severe comorbidity (8,3%). There was no documented case of bowel ischemia or ischemic-stricture.
Conclusion: Super-selective mesenteric embolization is a viable, safe and effective management for acute LGIB.
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