Win the Bleeding sniper war | minimally invasive intervention hemostasis “instant results”

2022-05-26 0 By

Recently, the department of gastroenterology of Xi ‘an Third Hospital applied interventional technology to treat an elderly patient with active abdominal bleeding, and the hemostatic effect was “immediate”.The patient was an elderly male with a preoperative diagnosis of duodenal papillary malignancy, abdominal bleeding, hypovolemic shock, and moderate anemia.Progressive decline in hemoglobin suggests the possibility of active abdominal bleeding.Professor Peng Zhang, Department of Gastroenterology, performed abdominal arteriography + embolization for the patient. The embolization was complete after the hemorrhage was found during the operation under local anesthesia. The vital signs were immediately stable and hemostasis was effective 10 minutes after the operation.Due to local adhesion and gastrointestinal wall edema, the traditional surgical treatment of hemostasis is very difficult, and there are serious complications and high mortality.Interventional embolization is an effective and less invasive hemostatic method, which can quickly improve the bleeding symptoms of patients.In recent 3 years, many clinical studies at home and abroad have shown that interventional therapy has diagnostic and therapeutic value for postoperative bleeding after pancreaticoduodenectomy (PD), which is minimally invasive and effective, and is worthy of clinical application.There are also many animal experiments and clinical studies showing that interventional embolization therapy has rapid hemostasis and long-term stability for active abdominal bleeding caused by abdominal tumor.Active abdominal bleeding is critical to life, and interventional embolization has the advantages of accuracy, short operation time, safety, effectiveness and stability.The Department of Gastroenterology of xi ‘an Third Hospital carries out comprehensive and interventional treatment of digestive tract tumors all year round, such as drainage PTCD and stenting for obstructive jaundice, arterial perfusion embolization for liver cancer -TACE.Interventional treatment of cirrhotic ascites, cirrhotic digestive tract bleeding via jugular portal shunt TIPS, esophagogastric variceal embolization PTVE, splenic artery embolization PSE and other interventional treatment of hemorrhagic diseases and peripheral vascular diseases.Declaration: The copyright of this article belongs to the original author, if there is a source error or infringement of your legitimate rights and interests, you can contact us through the mailbox, we will promptly deal with.Email address: jpbl@jp.jiupainews.com