Pérez-Aguirre J, Belmonte MC, Pérez-Rodríguez JA, Guerrero GVH, Alcántara PR

Language: Spanish
References: 18
Page: 18-22
PDF size: 58.10 Kb.

ABSTRACT

Objective: To assess the efficacy of selective embolization to manage massive low digestive bleeding (MLDB).
Setting: Central Military Hospital.
Design: Retrospective, observational, descriptive study.
Statistical analysis: Quantitative variables with central tendency and dispersion measures; qualitative variables with percentages.
Patients and methods: Patients admitted to the colon and rectum service with MLDB diagnosis and who were subjected to diagnostic mesenteric arteriography and superselective embolization to control bleeding in the period between January 1999 to January 2004.
Results: Mesenteric arteriography was performed in 21 patients with MLDB, more than half of them were older than 70 years; all with associated diseases. The most frequently associated chronic disease was systemic arterial hypertension (SAH) with 9 patients. The site most frequently found with bleeding was the left colon and the main cause was diverticular disease with 71% of the cases. Embolization was very efficacious since bleeding could be controlled in 20 cases. Surgery was only needed in two patients (9%) because they developed intestinal ischemia after embolization. Mortality was of 15% (3 patients).
Conclusion: Superselective embolization is an effective and efficacious procedure to control massive low digestive bleeding, with low mortality and morbidity.

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