医学
内镜超声
胃肠道出血
内镜治疗
内窥镜检查
外科
放射科
作者
Ryan Law,Larissa L. Fujii-Lau,Louis M. Wong Kee Song,Christopher J. Gostout,Patrick S. Kamath,Barham K. Abu Dayyeh,Ferga C. Gleeson,Elizabeth Rajan,Mark D. Topazian,Michael J. Levy
标识
DOI:10.1016/j.cgh.2014.09.030
摘要
A subset of patients with nonvariceal gastrointestinal bleeding fail, or are unsuitable candidates for, endoscopic, radiologic, and surgical interventions. Endoscopic ultrasound (EUS)-guided intervention might be effective in these patients. We performed EUS-guided hemostatic interventions for 17 patients with nonvariceal gastrointestinal bleeding from June 2003 through May 2014 who failed, or were unsuitable candidates for, additional therapies. Indications for treatment included gastrointestinal stromal tumors, colorectal vascular malformations, duodenal masses or polyps, Dieulafoy lesions, duodenal ulcers, rectally invasive prostate cancer, pancreatic pseudoaneurysms, ulcerated esophageal cancer, and ulceration after Roux-en-Y gastric bypass. After the procedure, 88% of patients have had no further bleeding related to the treated lesion, over a median follow-up period of 12 months. EUS-guided hemostatic therapy therefore is feasible and useful for select patients with clinically severe, refractory, or recurrent nonvariceal gastrointestinal bleeding.
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