Introduction: Recurrent bleeding from an upper gastrointestinal ulcer when endoscopy fails is a reason for radiological or surgical treatment, both of which have their advantages and disadvantages.
Case: Based on a patient with recurrent gastrointestinal bleeding, we reviewed the available evidence regarding the efficacy and safety of surgical treatment and embolisation, respectively.
Discussion: Transarterial embolisation (TAE) and surgical treatment are both options for recurrent gastrointestinal bleeding when endoscopy fails. Both therapies have serious complications and a risk of rebleeding. Choosing the therapy depends on the capability of the patient to tolerate haemodynamic instability, resuscitation and hypotension.
Conclusion: Choosing between TAE and surgery depends a great deal on the case presented, haemodynamic stability and the skills and tools available at that moment.
|Number of pages||4|
|Journal||The Netherlands Journal of Medicine|
|Publication status||Published - Sep-2013|
- Gastrointestinal bleeding
- failed endoscopy
- TRANSCATHETER ARTERIAL EMBOLIZATION
- CONSENSUS RECOMMENDATIONS
- THERAPEUTIC ENDOSCOPY