Variceal and Nonvariceal Upper Gastrointestinal Bleeding Refractory to Endoscopic Management: Indications and Role of Interventional Radiology

Ece Meram; Elliott Russell; Orhan Ozkan; Mark Kleedehn

doi:10.1016/j.giec.2023.09.014

Variceal and Nonvariceal Upper Gastrointestinal Bleeding Refractory to Endoscopic Management: Indications and Role of Interventional Radiology

Gastrointest Endosc Clin N Am. 2024 Apr;34(2):275-299. doi: 10.1016/j.giec.2023.09.014. Epub 2023 Oct 28.

Authors

Ece Meram¹, Elliott Russell¹, Orhan Ozkan¹, Mark Kleedehn²

Affiliations

¹ University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792, USA.
² University of Wisconsin School of Medicine and Public Health, University of Wisconsin Hospitals and Clinics, 600 Highland Avenue, Madison, WI 53792, USA. Electronic address: [email protected].

PMID: 38395484
DOI: 10.1016/j.giec.2023.09.014

Abstract

For over 60 years, diagnostic and interventional radiology have been heavily involved in the evaluation and treatment of patients presenting with gastrointestinal bleeding. For patients who present with upper GI bleeding and have a contraindication to endoscopy or have an unsuccessful attempt at endoscopy for identifying or controlling the bleeding, interventional radiology is often consulted for evaluation and consideration of catheter-based intervention.

Keywords: Embolization; Empirical embolization; Hemobilia; Hemosuccus pancreaticus; Interventional radiology; Prophylactic embolization; Upper GI bleeding; Variceal bleeding.

Publication types

Review

MeSH terms

Embolization, Therapeutic*
Endoscopy, Gastrointestinal
Gastrointestinal Hemorrhage / diagnostic imaging
Gastrointestinal Hemorrhage / etiology
Gastrointestinal Hemorrhage / surgery
Humans
Radiology, Interventional*
Treatment Outcome