Emergency interventional therapy of massive upper digestive tract bleeding
SI Guang-yan1, WANG Xue-jian2, ZHOU Shi2, LI Xing2, SONG Jie2, JIANG Tian-peng2, ZHANG Wei2
1. The Affiliated Hospital of Luzhou Medical College, Luzhou Sichuan 646000, China;2. The Ａffiliated Hospital of Guiyang Medical College, Guiyang 550004, China
Abstract：Objective: To explore the time of treatment, methods and effect of hemostasis in emergency interventional therapy of massive upper digestive tract bleeding. Methods: Sixty-five cases of massive bleeding of upper digestive tract were treated with interventional therapy. According to the angiographic signs, arterial embolization or transjugular intrahepatic portosystemic shunt(TIPSS) were perfomed. The time of treatment, angiographic signs, methods and effect of hemostasis were analysed. Results: Arterial embolization were perfomed in 42 cases, TIPSS in 19 cases, medical therapy in 2 cases and surgical therapy in 2 cases. During 1 month follow-up, 1 case rebled after TIPSS and 2 after arterial embolization. Neither dead cases nor serious complications occurred. Conclusion: In massive upper digestive tract bleeding emergency interventional therapy is a good method of hemostasis, with low mortality and small trauma.
2007, Vol. 18 
