Provocative Endoscopy to Identify Bleeding Site in Upper Gastrointestinal Bleeding: A Novel Approach in Transarterial Embolization

J Vasc Interv Radiol. 2016 Jul;27(7):968-72. doi: 10.1016/j.jvir.2016.03.009.

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.

Publication types

  • Case Reports

MeSH terms

  • Aged
  • Computed Tomography Angiography*
  • Cysts / complications
  • Cysts / diagnosis
  • Cysts / therapy
  • Duodenal Ulcer / complications
  • Duodenal Ulcer / diagnostic imaging
  • Duodenal Ulcer / therapy
  • Embolization, Therapeutic*
  • Enbucrilate / administration & dosage*
  • Endoscopy, Gastrointestinal / methods*
  • Gastrointestinal Hemorrhage / diagnostic imaging*
  • Gastrointestinal Hemorrhage / etiology
  • Gastrointestinal Hemorrhage / therapy*
  • Humans
  • Male
  • Middle Aged
  • Pancreatic Fistula / complications
  • Pancreatic Fistula / diagnostic imaging
  • Pancreatic Fistula / therapy
  • Peptic Ulcer Hemorrhage / diagnostic imaging
  • Peptic Ulcer Hemorrhage / therapy
  • Predictive Value of Tests
  • Stomach Diseases / complications
  • Stomach Diseases / diagnosis
  • Stomach Diseases / therapy
  • Treatment Outcome

Substances

  • Enbucrilate