Korean Journal of Gastrointestinal Endoscopy 2003;26(3): 125-132.
소화성 궤양 출혈의 치료에 있어서 경도관 동맥 색전술의 유용성
조준식·정준표·이광훈*·최성우·지상원·이정일·이세준·이관식·이상인·김기황*
연세대학교 의과대학 내과학교실, *진단방사선과학교실
A Clinical Study on the Effect of Transcatheter Arterial Embolization in the Treatment of Peptic Ulcer Bleeding
Jun Sik Cho, M.D., Jun Pyo Chung, M.D., Kwang-Hun Lee, M.D.*, Sung Woo Choi, M.D., Sang Won Ji, M.D., Jung Il Lee, M.D., Se Joon Lee, M.D., Kwan Sik Lee, M.D., Sang In Lee, M.D. and Ki Whang Kim, M.D.*
Departments of Internal Medicine and *Diagnostic Radiology, Yonsei University College of Medicine, Seoul, Korea
Abstract
Background/Aims: Transcatheter arterial embolization (TAE) has been increasingly used in the treatment of patients with gastrointestinal bleeding due to improved catheter and guidewire technologies and emergence of safer embolization materials. We evaluated the clinical characteristics of patients in whom TAE was performed and the outcome of the treatment. Methods: Eleven patients (M：F=9：2, mean age=60.6 years) underwent TAE between April 2001 and August 2002. Causes of bleeding were gastric ulcer in 9 cases and duodenal ulcer in 2 cases. Seven patients had comorbid diseases, but 4 patients did not. Results: Successful TAE without rebleeding was achieved in 10 of 11 patients (90.9%). One patient failed to respond to TAE and died due to multiorgan failure. Another patient died due to other causes despite a successful TAE. There were no TAE-related complications. Conclusions: TAE is a safe and effective modality in the treatment of patients with peptic ulcer bleeding who do not respond to endoscopic hemostasis. Thus, TAE seems to be included in the treatment algorithm of peptic ulcer bleeding regardless of surgical risks of patients and be placed before surgery, but prospective randomized studies are needed. (Korean J Gastrointest Endosc 2003;26:125132)
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