Transcatheter control of postpolypectomy hemorrhage.
Intraarterial vasopressin infusion of the inferior mesenteric artery was used in the treatment of 2 patients with massive hemorrhage following colonoscopic polypectomy. Both patients had multiple medical problems and were considered to be very-high-risk candidates for emergency surgery. Arteriography readily demonstrated the site of bleeding, and vasopressin infusion effectively controlled the hemorrhage in both patients without complication. Angiographic management allowed elective colonic resection 1 month later in 1 patient and prevented surgery in the other who has not bled again in the 6 months following the procedure. The role of arteriography in the management of postpolypectomy hemorrhage is discussed.
D000368:Aged; D002404:Catheterization; D003108:Colonic Diseases / Q000188:drug therapy*; D003111:Colonic Polyps / Q000601:surgery*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000188:drug therapy*; D006801:Humans; D007261:Infusions, Intra-Arterial / Q000379:methods; D008297:Male; D008638:Mesenteric Arteries / Q000000981:diagnostic imaging*; D011183:Postoperative Complications / Q000188:drug therapy*; D011859:Radiography; D014667:Vasopressins / Q000008:administration & dosage*
D014667:Vasopressins