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소화성 궤양 출혈의 치료에 있어서 경도관 동맥 색전술의 유용성

Other Titles
 A Clinical Study on the Effect of Transcatheter Arterial Embolization in the Treatment of Peptic Ulcer Bleeding 
Authors
 조준식  ;  정준표  ;  김기황  ;  이상인  ;  이관식  ;  이세준  ;  이정일  ;  지상원  ;  최성우  ;  이광훈 
Citation
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지), Vol.26(3) : 125-132, 2003 
Journal Title
 Korean Journal of Gastrointestinal Endoscopy (대한소화기내시경학회지) 
ISSN
 1225-7001 
Issue Date
2003
MeSH
Peptic ulcer bleeding ; Transcatheter arterial embolization
Keywords
Peptic ulcer bleeding ; Transcatheter arterial embolization
Abstract
Background/Aims: Transcatheter arterial embolization (TAE) has been increasingly used in the treatment of patients with gastrointestinal bleeding due to improved catheter and guidewire technologies and emergence of safer embolization materials. We evaluated the clinical characteristics of patients in whom TAE was performed and the outcome of the treatment. Methods: Eleven patients (M:F=9:2, mean age=60.6 years) underwent TAE between April 2001 and August 2002. Causes of bleeding were gastric ulcer in 9 cases and duodenal ulcer in 2 cases. Seven patients had comorbid diseases, but 4 patients did not. Results: Successful TAE without rebleeding was achieved in 10 of 11 patients (90.9%). One patient failed to respond to TAE and died due to multiorgan failure. Another patient died due to other causes despite a successful TAE. There were no TAE-related complications. Conclusions: TAE is a safe and effective modality in the treatment of patients with peptic ulcer bleeding who do not respond to endoscopic hemostasis. Thus, TAE seems to be included in the treatment algorithm of peptic ulcer bleeding regardless of surgical risks of patients and be placed before surgery, but prospective randomized studies are needed.
Files in This Item:
T200302651.pdf Download
DOI
OAK-2003-00167
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
Yonsei Authors
Kim, Ki Whang(김기황)
Lee, Kwan Sik(이관식) ORCID logo https://orcid.org/0000-0002-3672-1198
Lee, Kwang Hun(이광훈)
Lee, Sang In(이상인)
Lee, Se Joon(이세준) ORCID logo https://orcid.org/0000-0002-2695-2670
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/113327
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