2011
DOI: 10.1016/j.clinre.2011.04.006
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Small bowel ischemia after angiographic embolization for angiodysplasia of lower gastrointestinal tract: The case for conservative management

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Cited by 6 publications
(4 citation statements)
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“…All cases of serious bowel infarction occurred in lower GIB where there is less collateral supply and the ischemic area is supplied by a single major vessel. In cases of bowel infarction, the mortality rate increases to 90% during hospital stay (39,40). Early diagnosis and effective treatment of bowel ischemia is necessary to reduce the mortality rate.…”
Section: Discussionmentioning
confidence: 99%
“…All cases of serious bowel infarction occurred in lower GIB where there is less collateral supply and the ischemic area is supplied by a single major vessel. In cases of bowel infarction, the mortality rate increases to 90% during hospital stay (39,40). Early diagnosis and effective treatment of bowel ischemia is necessary to reduce the mortality rate.…”
Section: Discussionmentioning
confidence: 99%
“…However, most of the patients with angiodysplasia are elderly and combined with various diseases; thus they have relative poor tolerance for surgery. The mortality rate of this surgery may reach 9%–47% [ 16 ]. Transartery infusion of pituitrin used to be an important method for interventional therapy of HAD; it almost is weeded out now because of the inevitably serious complications and higher bleeding rate made by pituitrin.…”
Section: Discussionmentioning
confidence: 99%
“…It is difficult to prove that diagnostic endoscopy improves the outcome, but it is clearly important to define a precise diagnosis in order to plan treatment , hence it is often considered as the first method of choice (Failure rate up to 32%) [9]. Surgery is the definitive treatment option, But as most of the patients with angiodysplasia are elderly, with numerous co-morbidities, such as cardiovascular disease, chronic kidney disease, and on anticoagulants and antiplatelet agents have relatively poor tolerance for surgery and the mortality rate can reach 9% to 47% [10]. injection and examination with a fluorescent scope could localize jejunal Arterio-Venous malformations [18].…”
Section: Figurementioning
confidence: 99%