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Special considerations in the management of lower GI bleed by interventional radiology

Shihong Li, Brendan Oshea, Shiliang Sun

Journal of Interventional Medicine · 2019

doi:10.1016/j.jimed.2019.09.007 (opens in a new tab)

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Abstract

Despite the rapid development of diagnostic and therapeutic modalities and techniques to manage LGIB patients from interventional radiology’s standpoint, a successful localization of the bleeding site that leads to an effective embolotherapy remains a significant technical challenge. The interventional radiologist’s decisions when managing patients with LGIB may significantly impact the clinical outcomes; therefore, management should be made based on careful and thorough considerations of factors such as etiology, locations, patient’s comorbidities, and potential post-procedure complications, among others. The purpose of this paper is to review the management of LGIB by interventional radiology, focusing on a few challenging and common clinical situations that require special consideration by interventional radiologists. Keywords: Lower gastrointestinal bleeding, Angiography, Embolization, Anticoagulation related lower gastrointestinal bleeding

Abstract licence: CC BY-NC-ND

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