Abstract
Transcatheter embolization using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal hemorrhage. During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective embolization; 6 patients had upper gastrointestinal hemorrhage and 4 had bleeding from the colon. Most of these patients were critically ill and were poor surgical candidates. Hemorrhage was controlled by selective catheterization of the bleeding vessel, followed by injection of Gelfoam pledgets. Since the procedure was accomplished with ease and prolonged hemostasis obtained, we recommend it for gastrointestinal hemorrhage, especially in patients who are poor surgical risks or are unresponsive to vasopressin infusion, or both. Operative intervention for the primary disease could subsequently be performed electively, if necessary, days or weeks after transcatheter embolization.
| Original language | English (US) |
|---|---|
| Pages (from-to) | 840-844 |
| Number of pages | 5 |
| Journal | The American Journal of Surgery |
| Volume | 138 |
| Issue number | 6 |
| DOIs | |
| State | Published - 1979 |
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ASJC Scopus subject areas
- Surgery
Cite this
Selective embolization for control of gastrointestinal hemorrhage. / Matolo, Nathaniel M.; Link, Daniel P.
In: The American Journal of Surgery, Vol. 138, No. 6, 1979, p. 840-844.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - Selective embolization for control of gastrointestinal hemorrhage
AU - Matolo, Nathaniel M.
AU - Link, Daniel P.
PY - 1979
Y1 - 1979
N2 - Transcatheter embolization using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal hemorrhage. During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective embolization; 6 patients had upper gastrointestinal hemorrhage and 4 had bleeding from the colon. Most of these patients were critically ill and were poor surgical candidates. Hemorrhage was controlled by selective catheterization of the bleeding vessel, followed by injection of Gelfoam pledgets. Since the procedure was accomplished with ease and prolonged hemostasis obtained, we recommend it for gastrointestinal hemorrhage, especially in patients who are poor surgical risks or are unresponsive to vasopressin infusion, or both. Operative intervention for the primary disease could subsequently be performed electively, if necessary, days or weeks after transcatheter embolization.
AB - Transcatheter embolization using Gelfoam plugs or autologous clot is an alternative or adjunct to the conventional management of gastrointestinal hemorrhage. During a 12 month period we successfully treated 10 patients who had massive gastrointestinal hemorrhage with selective embolization; 6 patients had upper gastrointestinal hemorrhage and 4 had bleeding from the colon. Most of these patients were critically ill and were poor surgical candidates. Hemorrhage was controlled by selective catheterization of the bleeding vessel, followed by injection of Gelfoam pledgets. Since the procedure was accomplished with ease and prolonged hemostasis obtained, we recommend it for gastrointestinal hemorrhage, especially in patients who are poor surgical risks or are unresponsive to vasopressin infusion, or both. Operative intervention for the primary disease could subsequently be performed electively, if necessary, days or weeks after transcatheter embolization.
UR - http://www.scopus.com/inward/record.url?scp=0018555629&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0018555629&partnerID=8YFLogxK
U2 - 10.1016/0002-9610(79)90308-8
DO - 10.1016/0002-9610(79)90308-8
M3 - Article
C2 - 315725
AN - SCOPUS:0018555629
VL - 138
SP - 840
EP - 844
JO - American Journal of Surgery
JF - American Journal of Surgery
SN - 0002-9610
IS - 6
ER -