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العنوان
Role of Endovascular Transcatheter selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding/
الناشر
Ain Shams university .
المؤلف
Mohamed,Mohamed Ahmed Abdelrasoul .
هيئة الاعداد
باحث / محمد احمد عبد الرسول محمد
مشرف / محمد الغريب ابو المعاطى
مشرف / عمرو محمود احمد
مشرف / هيثم محمد ناصر
تاريخ النشر
2020
عدد الصفحات
223.p;
اللغة
الإنجليزية
الدرجة
الدكتوراه
التخصص
الأشعة والطب النووي والتصوير
تاريخ الإجازة
1/4/2020
مكان الإجازة
جامعة عين شمس - كلية الطب - Radio diagnosis
الفهرس
Only 14 pages are availabe for public view

from 219

from 219

Abstract

Acute gastrointestinal bleeding (GIB) can lead to significant morbidity and mortality without appropriate treatment . The diagnostic and therapeutic approach of GIB depends on its location, severity, and etiology. The role of interventional radiology via
trans-catheter embolization becomes vital in patients whose GIB remains resistant to medical and endoscopic treatment.
Our study aim is to assess the clinical and technical efficacy of Transcatheter Arterial Embolization in management of Acute GIB . This study was conducted for patients presented with active upper or Lower GI bleeding. Sixteen patients underwent selective trans- arterial embolization. Patients were followed up clinically for any complications or episodes of recurrent bleeding .
Results:
Our study was held on 16 patients ( 10 male patients and 6 female patients ) , rɑnɡinɡ from 50 to 72 yeɑrs with mean ɑɡe of 61 yeɑrs old . Our Technical Success was 100% , with Clinical success within the 1st 30 days post procedure reaching (75%). No Major intra or post- procedural complication was appreciated . The median post-procedural follow-up duration was 90 days. 4 cases
showed reccured bleeding with only one case only from them was managed with re embolization .The 30-day mortality rate was 6.2 %, while the overall mortality rate throughout the whole follow up period 90 days was 18.7%.
-Conclusion: Endovascular Transcatheter selective Arterial Embolization is an effective way in Management of Acute Gastrointestinal Bleeding which is refractory to traditional medial and endoscopic management with our study showing acceptable improvement of the clinical and laboratory data with decrease in the morbidity and mortality rate among the treated patients