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- Title
Massive Duodenal Bleeding after the Migration of Endovascular Coils into the Small Bowel.
- Authors
Chung-Jo Choi; Hyun Lim; Dong-Suk Kim; Yong-Seol Jeong; Sang-Young Park; Jeong-Eun Kim
- Abstract
Among gastrointestinal emergencies, acute upper gastrointestinal bleeding remains a challenging clinical problem owing to significant patient morbidity and costs involved in management. Endoscopic hemostatic therapy is the mainstay of treatment and decreases the incidence of re-bleeding, the need for surgery, morbidity, and mortality. However, in 8%-15% of patients with upper gastrointestinal bleeding, endoscopic hemostatic therapy does not successfully control bleeding. Trans-arterial coil embolization is an effective alternative treatment for endoscopic hemostatic failure; however, this procedure can induce adverse outcomes, such as non-target vessel occlusion, vessel dissection and perforation, and coil migration. Coil migration is rare but causes severe complications, such as re-bleeding and bowel ischemia. However, in most cases, coil migration is local and involves spontaneous healing without serious complications. Here, we report the case of a patient who underwent trans-arterial coil embolization of the gastroduodenal artery with the purpose of controlling massive duodenal bleeding, resulting in a fatal outcome caused by coil migration.
- Subjects
HEMORRHAGE; COST control; HEALING; GASTROINTESTINAL hemorrhage; DISEASES; PEPTIC ulcer
- Publication
Clinical Endoscopy, 2019, Vol 52, Issue 6, p612
- ISSN
2234-2400
- Publication type
Article
- DOI
10.5946/ce.2019.020