title: Provocative Endoscopy to Identify Bleeding Site in Upper Gastrointestinal Bleeding: A Novel Approach in Transarterial Embolization.
abstract: This report describes a novel approach to endoscopically induce bleeding by removing a clot from the bleeding site during angiography for upper gastrointestinal (UGI) hemorrhage. This procedure enabled accurate identification of the bleeding site, allowing for successful targeted embolization despite a negative initial angiogram. Provocative endoscopy may be a feasible and useful option for angiography of obscure bleeding sites in patients with UGI arterial hemorrhage.
authors.affiliation: Department of Radiology, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo 1048560, Japan. Electronic address: kamomino@luke.ac.jp.
authors.forename: Minobu
authors.initials: M
authors.lastname: Kamo
authors.affiliation: Department of Interventional Radiology, Kawasaki Saiwai Hospital, Saiwai-ku, Kawasaki, Japan.
authors.forename: Sokun
authors.initials: S
authors.lastname: Fuwa
authors.affiliation: Department of Gastroenterology, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo 1048560, Japan.
authors.forename: Katsuyuki
authors.initials: K
authors.lastname: Fukuda
authors.affiliation: Department of Gastroenterology, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo 1048560, Japan.
authors.forename: Yoshiyuki
authors.initials: Y
authors.lastname: Fujita
authors.affiliation: Department of Radiology, St. Luke's International Hospital, 9-1, Akashi-cho, Chuo-ku, Tokyo 1048560, Japan.
authors.forename: Yasuyuki
authors.initials: Y
authors.lastname: Kurihara
mesh_terms: D000368:Aged; D000072226:Computed Tomography Angiography; D003560:Cysts / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D004381:Duodenal Ulcer / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D004621:Embolization, Therapeutic; D004659:Enbucrilate / Q000008:administration & dosage*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010185:Pancreatic Fistula / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy; D010438:Peptic Ulcer Hemorrhage / Q000000981:diagnostic imaging / Q000628:therapy; D011237:Predictive Value of Tests; D013272:Stomach Diseases / Q000150:complications / Q000175:diagnosis / Q000628:therapy; D016896:Treatment Outcome
chemical_list: D004659:Enbucrilate