Provocative Endoscopy to Identify Bleeding Site in Upper Gastrointestinal Bleeding: A Novel Approach in Transarterial Embolization

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• 作者：Minobu Kamo ; MD^a ; ^{kamomino@luke.ac.jp" class="auth_mail" title="E-mail the corresponding author} ; Sokun Fuwa ; MD^c ; Katsuyuki Fukuda ; MD ; PhD^b ; Yoshiyuki Fujita ; MD^b ; Yasuyuki Kurihara ; MD ; PhD^a
• 关键词：NBCA ; N-butyl cyanoacrylate ; UGI ; upper gastrointestinal
• 刊名：Journal of Vascular and Interventional Radiology
• 出版年：2016
• 出版时间：July 2016
• 年：2016
• 卷：27
• 期：7
• 页码：968-972
• 全文大小：4480 K

文摘

This report describes a novel approach to endoscopically induce bleeding by removing a clot from the bleeding site during angiography for upper gastrointestinal (UGI) hemorrhage. This procedure enabled accurate identification of the bleeding site, allowing for successful targeted embolization despite a negative initial angiogram. Provocative endoscopy may be a feasible and useful option for angiography of obscure bleeding sites in patients with UGI arterial hemorrhage.