Int J Gastrointest Interv.  2022 Oct;11(4):179-185. 10.18528/ijgii220047.

Interventional management for postoperative arterial bleeding in gastrointestinal surgery

• Sato Y
• Matsueda K
• Osawa M
• Inaba Y
• Takahashi Y
• Inoue Y
• Oba A
• Fukunaga Y
• Shimizu Y

• KMID: 2534798
• DOI: http://doi.org/10.18528/ijgii220047

Abstract

Postoperative arterial bleeding after gastrointestinal surgery is a potentially fatal complication. Transcatheter arterial embolization is considered the first-line treatment because of efficacy and less invasiveness despite the risk of organ infarction. With the recent advances in endovascular devices, stent-graft placement, which can preserve arterial flow, has been an alternative treatment option in patients with extrahepatic artery hemorrhage. Moreover, clinical outcomes of stent-graft placement for pseudoaneurysms in relative long term have been reported recently. Herein, we review the techniques and clinical outcomes for interventional management for postoperative arterial bleeding.

Keyword

Embolization; therapeutic; Hemorrhage; Radiology; interventional; Surgical procedures; operative