Embolization for gastrointestinal bleeding in patients with pancreatitis. Report of two cases and literature review. [Ulus Travma Acil Cerrahi Derg]
Ulus Travma Acil Cerrahi Derg. Ahead of Print: UTD-84333 | DOI: 10.14744/tjtes.2020.84333  

Embolization for gastrointestinal bleeding in patients with pancreatitis. Report of two cases and literature review.

Milan Dragoslav Radojkovic1, MIrjana Radisavljevic2, Danijela Radojkovic2, Sasha Tasic3, Milica Nestorovic1, Goran Stevanovic1
1Surgery Department, School of Medicine, University of Nis, Serbia
2Internal Medicine Department, School of Medicine, University of Nis, Serbia
3Radiology Department, School of Medicine, University of Nis, Serbia

Background. Gastrointestinal bleeding is rare but potentially fatal complication of pancreatitis. Early diagnosis and timely radiologic intervention are crucial for survival as when untreated the mortality of these patients is high.
Methods. We present two patients, one with chronic pancreatitis and one with acute pancreatitis, both complicated with severe upper gastrointestinal tract bleeding.
Results. Patients were successfully treated with transcatheter embolization after initial endoscopic hemostasis failed.
Conclusions. Advances in endovascular devices and embolization materials and increased number of experienced interventional radiologists have increased the importance of angiographic embolization procedures asa safe minimally invasive therapeutic method of achieving successful hemostasis associated with low incidence of complications. Due to its advantages over surgery it should be considered as treatment of choice in patients with upper gastrointestinal bleeding refractory to endoscopy.

Keywords: gastrointestinal bleeding, pancreatitis, embolization




Corresponding Author: Milan Dragoslav Radojkovic, Serbia


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