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Radiologic techniques and effectiveness of angiography to diagnose and treat acute upper gastrointestinal bleeding.

Abstract
The use of catheter-based techniques to treat upper gastrointestinal hemorrhage has evolved considerably over the past few decades. At present, the state-of-the-art interventional suites provide optimal imaging. Coupled with advanced catheter technology, the two may be used to manage and treat the patient with acute upper gastrointestinal hemorrhage. This article summarizes these techniques and, when possible, compares them with other methods such as surgery and endoscopy. The specific role of transcatheter embolotherapy is highlighted, alongside an additional discussion on pharmacologic infusion of vasopressin.
AuthorsDeepak Sudheendra, Anthony C Venbrux, Amir Noor, Albert K Chun, Shawn N Sarin, Andrew S Akman, Emily K Jackson
JournalGastrointestinal endoscopy clinics of North America (Gastrointest Endosc Clin N Am) Vol. 21 Issue 4 Pg. 697-705 (Oct 2011) ISSN: 1558-1950 [Electronic] United States
PMID21944419 (Publication Type: Journal Article, Review)
CopyrightCopyright © 2011. Published by Elsevier Inc.
Chemical References
  • Vasopressins
Topics
  • Angiography (methods)
  • Embolization, Therapeutic (methods)
  • Endoscopy, Gastrointestinal
  • Gastrointestinal Hemorrhage (diagnostic imaging, etiology, therapy)
  • Humans
  • Radiography, Interventional (methods)
  • Upper Gastrointestinal Tract (blood supply)
  • Vasopressins (administration & dosage)

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