Endovascular Management of Acute Gastrointestinal Bleeding: A   Single Center Study of Effectiveness and Clinical Outcomes

Mazhar Hussain; Mohammad Atif  Shiraz; Muhammad Umar  Amin; Ghulam  Abbas; Raza Rahim  Haider; Sohail  Akhtar

doi:10.51253/pafmj.v75iSUPPL-7.10983

Authors

Mazhar Hussain Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Mohammad Atif Shiraz Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Muhammad Umar Amin Department of Radiology, Akhtar Saeed Medical College, Rawalpindi Pakistan
Ghulam Abbas Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Raza Rahim Haider Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan
Sohail Akhtar Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

DOI:

https://doi.org/10.51253/pafmj.v75iSUPPL-7.10983

Keywords:

Angiography, Embolization, Endovascular management, Gastrointestinal bleeding

Abstract

Objective: To evaluate the clinical as well as technical success of endovascular management in patients of gastrointestinal bleeding.

Study Design: Cross-sectional study.

Place and Duration of Study: Armed Forces Institute of Radiology and Imaging, Rawalpindi, Pakistan, from Feb 2023 to Aug 2023.

Methodology: A total of 40 patients were enrolled with gastrointestinal bleeding treated with unsuccessful endoscopic management or in which endoscopic management was not possible. Study data was recorded on a predesigned proforma. This procedure involved the injection of small particles or coils into the blood vessels to block blood flow to the tumor, a minimally invasive alternative to surgery to control bleeding or shrink tumors.

Results: Duration between angiography and clinical manifestations was 5.92±1.22 days. The pathological angiography was found in 72.5% of patients and embolization in 92.5% of patients. Total technical success was found in 90.0% and clinical success was found in 87.5%. Further, the re-bleeding was noted among 22.5% of patients. Re-bleeding was higher in those having two or more co morbidities.The overall mortality was 27.5%, higher in re-bleeding patients.

Conclusion: Endovascular management is a highly safe and effective treatment option for gastrointestinal bleeding that cannot be treated endoscopically. This method has a high technical success rate and a low level of complications, making it suitable for high-risk patients.

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Author Biography

Raza Rahim Haider, Department of Radiology, Armed Forces Institute of Radiology and Imaging, Rawalpindi/National University of Medical Sciences (NUMS) Pakistan

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