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Chinese Archives of General Surgery(Electronic Edition) ›› 2013, Vol. 07 ›› Issue (06): 455-457. doi: 10.3877/cma.j.issn.1674-0793.2013.06.008

Special Issue:

• Original Article • Previous Articles     Next Articles

DSA and interventional therapy in acute gastrointestinal hemorrhage

Yan-hao CHEN1, Guo-sheng TAN2, Yun-zhi YIN1, Chao-lin JIN1,(), Shu-tong ZHANG1   

  1. 1. Department of Radiology, the Center Hospital of Wuhan, Tongji Medical College of Huazhong University of Science & Technology, Wuhan 430014, China
  • Received:2012-12-11 Online:2013-12-01 Published:2013-12-01
  • Contact: Chao-lin JIN
  • About author:
    Corresponding author: JIN Chao-lin, Email:

Abstract:

Objective

To explore the diagnostic value and effects of digital subtraction angiography (DSA) for acute gastrointestinal hemorrhage.

Methods

Twenty-five patients of gastrointestinal hemorrhage of unknown reasons were examined by DSA , and the positive ones were treated by the gelfoam embolization combined with pituitrin infusion.

Results

Eighteen of the twenty-five patients showed positive signs, taking up the rate of 72%. Ten patients, directly found the petechiae, were treated by gelfoam embolization combined with pituitrin infusion embolization. Eight cases of suspected petechiae were given pituitrin infusion treatment. Six patients were hemorrhage of gastroduodenal, 9 of the rest of small intestine, 3 of colon and rectum. 5 cases were caused by the hemorrhage of ulcer disease, 2 by neoplastic lesions, 1 by diverticulum, 4 by vascular lesions, and 6 by anastomotic hemorrhage. Postoperative hemorrhage was found in 3 patients. Four cases were still given conservative medical treatment, and 6 of surgery.

Conclusion

DSA, an effective and minimally invasive interventional treatment, is worth generalizing on clinic.

Key words: Gastrointestinal hemorrhage, Angiography, Digital subtraction, Interventional therapy

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