title: [Transcatheter arterial embolization in the management of duodenal bleeding].
abstract: Emergency transcatheter arterial embolization was performed in 6 patients with massive duodenal bleeding. Three out of 6 patients were bleeding from duodenal ulcer and erosion, 2 from aneurysm of the gastroduodenal artery (GDA) and 1 from duodenal tumor. In 4 cases, complete and permanent cessation of bleeding was obtained by GDA embolization alone and additional pancreatico-duodenal artery embolization were necessary for hemostasis in 2 patients with GDA pseudoaneurysm. One patient maintained by hemodialysis had complication of duodenal infarction and pancreas necrosis following this procedure. Emergency embolization represents a useful alternative to the operative management of massive duodenal bleeding and should be the initial treatment of choice in those patients.
authors.affiliation: Department of Radiology, Fukuoka University Hospital.
authors.forename: M
authors.initials: M
authors.lastname: Okazaki
authors.forename: T
authors.initials: T
authors.lastname: Hoashi
authors.forename: F
authors.initials: F
authors.lastname: Koganemaru
authors.forename: K
authors.initials: K
authors.lastname: Kido
authors.forename: H
authors.initials: H
authors.lastname: Higashihara
authors.forename: H
authors.initials: H
authors.lastname: Ono
mesh_terms: D000328:Adult; D000368:Aged; D004378:Duodenal Diseases / Q000628:therapy*; D004621:Embolization, Therapeutic; D004630:Emergencies; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged