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Yong-Seol Jeong 1 Article
Massive Duodenal Bleeding after the Migration of Endovascular Coils into the Small Bowel
Chung-Jo Choi, Hyun Lim, Dong-Suk Kim, Yong-Seol Jeong, Sang-Young Park, Jeong-Eun Kim
Clin Endosc 2019;52(6):612-615.   Published online May 20, 2019
DOI: https://doi.org/10.5946/ce.2019.020
AbstractAbstract PDFPubReaderePub
Among gastrointestinal emergencies, acute upper gastrointestinal bleeding remains a challenging clinical problem owing to significant patient morbidity and costs involved in management. Endoscopic hemostatic therapy is the mainstay of treatment and decreases the incidence of re-bleeding, the need for surgery, morbidity, and mortality. However, in 8%–15% of patients with upper gastrointestinal bleeding, endoscopic hemostatic therapy does not successfully control bleeding. Trans-arterial coil embolization is an effective alternative treatment for endoscopic hemostatic failure; however, this procedure can induce adverse outcomes, such as non-target vessel occlusion, vessel dissection and perforation, and coil migration. Coil migration is rare but causes severe complications, such as re-bleeding and bowel ischemia. However, in most cases, coil migration is local and involves spontaneous healing without serious complications. Here, we report the case of a patient who underwent trans-arterial coil embolization of the gastroduodenal artery with the purpose of controlling massive duodenal bleeding, resulting in a fatal outcome caused by coil migration.

Citations

Citations to this article as recorded by  
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  • Management of Gastroduodenal Artery Pseudoaneurysm Rupture With Duodenal Ulcer Complicated by Coil Migration
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    ACG Case Reports Journal.2020; 7(4): e00347.     CrossRef
  • Persisting bleeding from the duodenal ulcer in patients with occlusion of the celiac trunk: a case report
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    Polish Journal of Surgery.2020; 93(SUPLEMENT): 54.     CrossRef
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