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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
"multiple organ failure"
symptom
cholangiocarcinoma
megacystis-microcolon-intestinal hypoperistalsis syndrome
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