AIM: To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management. MATERIAL AND METHODS: Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE. RESULTS: Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014. CONCLUSION: TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
AIM: To present possibilities of transcatheter arterial embolization (TAE) in duodenal bleeding management. MATERIAL AND METHODS: Treatment of 212 patients with acute duodenal bleeding for the period from 2012 to 2014 was analyzed. In 32 (22.5%) patients of the study group bleeding recurrence or its high risk was indication for TAE. RESULTS: Change of surgical tactics for bleeding from upper gastrointestinal tract including endoscopic hemostasis optimization, wide introduction of TAE and sharp decrease of surgical activity reduced overall mortality to 1.6% in 2012--2014. CONCLUSION:TAE is effective to control bleeding and reduces mortality rate especially in high risk and elderly patients.
Authors: Murat K Jakanov; Bazylbek S Zhakiev; Uteugaly G Karsakbayev; Bulat A Kurmanbayev; Kairat R Taishibayev; Serik K Sagynganov Journal: Med J Islam Repub Iran Date: 2021-08-18