J Korean Radiol Soc.  1986 Feb;22(1):12-18. 10.3348/jkrs.1986.22.1.12.

Angiographic diagnosis and treatment of gastrointestinal bleeding

• Park JH
• Sung KB
• Koo KH
• Bae TY
• Chung EC
• Han MC

• KMID: 2462363
• DOI: http://doi.org/10.3348/jkrs.1986.22.1.12

Abstract

Diagnostic angiographic evaluations were done in 33 patients with gastrointestinal bleeding for recent 5 yearsat Department of Radilogy, Seoul National University hospital. On 11 patients of them, therapeutic interventionalprocedures were made and the results were analysed. 1. In a total of 33 cases, there were 18 cases of upper GIbleeding and 15 cases of lower GI bleeding. The most frequent causes were peptic ulcer in the former andintestinal typhoid fever in the latter. 2. Bleeding sites were localized angiographically in 28 cases, so thedetection rate was 85%. Four of the five angiographically negative cases were lower GI bleeding cases. 3. The mostfrequent bleeding site was left gastric artery(7/33). The next was ileocecal branch of superior mesentericartery(6/33). 4. Among the 11 interventional procedures, Gelfoam embolization was done in 7 cases and Vasopressininfusion was tried in 4 cases. They were successful in 4 and 3 cases, suggesting 57% and 47% success ratesrespectively.

MeSH Terms

Diagnosis*
Gelatin Sponge, Absorbable
Hemorrhage*
Humans
Peptic Ulcer
Seoul
Typhoid Fever