title: Ultrasound-guided radiofrequency ablation: a new treatment option after failure to stop severe acute upper gastrointestinal tumor bleeding using endoscopic techniques.
abstract: Endoscopy is well established as the primary approach in cases of severe acute upper gastrointestinal bleeding. Although endoscopic techniques can achieve hemostasis in up to 95% of instances, not all sources of bleeding seen at endoscopy can be managed endoscopically. Massive and diffuse bleeding from locally advanced gastric adenocarcinoma is not usually self-limit-ing and is often refractory to endoscopic treatment. If surgery or endovascular tumor embolization are not possible after failure of endoscopic hemostasis, the situation may become life-threaten-ing. We present a new option for the treatment of patients in this rare but potentially fatal situation, which involves radiofrequency ablation using a needle electrode placed percutaneously un-der ultrasound guidance.
authors.affiliation: Second Department of Internal Medicine, Allgemeines Krankenhaus Altona, Hamburg, Germany. Axel.Stang@ak-altona.lbk-hh.de
authors.forename: A
authors.initials: A
authors.lastname: Stang
authors.forename: C-U
authors.initials: CU
authors.lastname: von Seydewitz
authors.forename: S
authors.initials: S
authors.lastname: Celebcioglu
authors.forename: H
authors.initials: H
authors.lastname: Keles
authors.forename: F
authors.initials: F
authors.lastname: Hagenmüller
authors.forename: D
authors.initials: D
authors.lastname: Braumann
mesh_terms: D000230:Adenocarcinoma / Q000150:complications*; D017115:Catheter Ablation / Q000295:instrumentation; D017809:Fatal Outcome; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000601:surgery*; D005773:Gastroscopy; D006801:Humans; D008297:Male; D008875:Middle Aged; D009339:Needles; D012008:Recurrence; D013274:Stomach Neoplasms / Q000150:complications*; D016896:Treatment Outcome; D018084:Ultrasonography, Interventional