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Endovascular embolization for managing anastomotic bleeding after stapled digestive tract anastomosis.
[cholangiocarcinoma]
Anastomotic
bleeding
is
an
infrequent
but
life-threatening
complication
after
stapled
digestive
tract
anastomosis
.
Endovascular
embolization
is
one
of
the
available
treatments
,
but
precise
clinical
outcomes
are
yet
to
be
evaluated
.
To
evaluate
the
efficacy
and
safety
of
endovascular
embolization
for
managing
anastomotic
bleeding
after
stapled
digestive
tract
anastomosis
.
Twenty
-
eight
patients
were
diagnosed
with
anastomotic
bleeding
after
stapled
digestive
tract
anastomosis
by
digital
subtraction
angiography
(
DSA
)
.
Curative
effect
was
summed
for
analysis
.
All
bleeding
arteries
were
located
in
the
stoma
and
were
identified
by
contrast
agent
spillover
by
DSA
.
The
offending
arteries
were
superselectively
catheterized
and
embolized
with
microcoils
and
/
or
gelatin
sponge
particles
.
Laboratory
examinations
showed
normal
hemoglobin
and
red
blood
cell
counts
when
the
patients
'
abdominal
cavity
drainage
tubes
stopped
draining
blood
.
The
follow-up
period
was
3
.
2
-
84
.
7
months
(
median
,
19
.
7
months
)
.
Four
patients
died
during
this
time
,
of
which
two
had
cholangiocarcinoma
,
one
had
gastric
cancer
with
tumor
recurrence
and
multiple
organ
failure
,
and
the
final
patient
had
a
subarachnoid
hemorrhage
4
months
after
embolization
.
In
the
surviving
patients
,
no
rebleeding
occurred
after
embolization
and
no
additional
intervention
or
surgery
was
required
.
Endovascular
embolization
is
safe
and
effective
for
managing
anastomotic
bleeding
after
stapled
digestive
tract
anastomosis
.
Diseases
Validation
Diseases presenting
"tumor recurrence"
symptom
carcinoma of the gallbladder
cholangiocarcinoma
cutaneous mastocytosis
dedifferentiated liposarcoma
esophageal adenocarcinoma
esophageal carcinoma
esophageal squamous cell carcinoma
liposarcoma
pleomorphic liposarcoma
thoracic outlet syndrome
von hippel-lindau disease
well-differentiated liposarcoma
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