The site of the Media Sphera Publishers contains materials intended solely for healthcare professionals.
By closing this message, you confirm that you are a certified medical professional or a student of a medical educational institution.

Login
EN
+7 (495) 482-4118
+7 (495) 482-4329
+8 800 250-18-12
  • (toll-free number for subscriptions)
    Mon-Fri from 10 a.m. to 6 p.m.

  • © 1998-2025
+7 (495) 482-43-29
EN
All journals
Journal
Year
Year
Search result: 0

Lebedev N.V.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Belozerov G.E.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Klimov A.E.

Peoples’ Friendship University of Russia, Department of faculty surgery

Sokolova P.Iu.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Spasskiy A.A.

Chair of Surgery, Russian Peoples’ Friendship University, Sklifosovsky Research Institute of Emergency Care, Moscow

Barkhudarov A.A.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Transcatheter embolization in prevention of recurrent bleeding from stomach ulcers

Authors:

Lebedev N.V., Belozerov G.E., Klimov A.E., Sokolova P.Iu., Spasskiy A.A., Barkhudarov A.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2017;(5): 31‑35

DOI: 10.17116/hirurgia2017531-35

Read: 1834 times

Download PDF (RU)
Contact the author
Table of contents

TRANSCATHETER EMBOLIZATION IN PREVENTION OF RECURRENT BLEEDING FROM STOMACH ULCERS
TRANSCATHETER EMBOLIZATION IN PREVENTION OF RECURRENT BLEEDING FROM STOMACH ULCERS

To cite this article:

Lebedev NV, Belozerov GE, Klimov AE, Sokolova PIu, Spasskiy AA, Barkhudarov AA. Transcatheter embolization in prevention of recurrent bleeding from stomach ulcers. Pirogov Russian Journal of Surgery. 2017;(5):31‑35. (In Russ.)
https://doi.org/10.17116/hirurgia2017531-35

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
Close metadata
Recommended articles:
Comparative analysis of prediction of risk of recu­rrence of gastroduodenal bleeding. Endo­scopic Surgery. 2025;(5):49-55
Abstract:

Aim. To evaluate an efficacy of endovascular hemostasis in patients with gastric ulcerative bleeding and high risk of recurrent bleeding and death. Material and methods. The work is based on a study of the results in 30 patients with gastric ulcerative bleeding, high risk of recurrent bleeding (rebleeding forecast system (RFS) score over 17) and high risk of death (SAPS II score over 30). We attempted transcatheter embolization of left gastric artery to prevent rebleeding. The control group consisted of 60 patients with gastric ulcerative bleeding and the same RFS and SAPS II values in whom angiography and endovascular hemostasis were not performed. Results. Technical success of endovascular hemostasis was achieved in 25 (83.3%) cases. In 5 cases embolization was not performed. Complications after transcatheter angiography and embolization were absent. Recurrent bleeding after technically successful embolization was observed in 3 (12.0%) patients. In all cases PVA microemboli were used. Mortality was 11.1% (3 patients). Conclusion. Endovascular hemostasis in patients with severe comorbidities (SAPS II score over 30) and high risk of rebleeding (RFS score over 17) reduced incidence of recurrent bleeding from 36.7% to 11.1%.

Keywords:

transcatheter embolization
recurrent bleeding
efficacy of hemostasis

Authors:

Lebedev N.V.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Belozerov G.E.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Klimov A.E.

Peoples’ Friendship University of Russia, Department of faculty surgery

Sokolova P.Iu.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Spasskiy A.A.

Chair of Surgery, Russian Peoples’ Friendship University, Sklifosovsky Research Institute of Emergency Care, Moscow

Barkhudarov A.A.

Kafedra fakul'tetskoĭ khirurgii Rossiĭskogo universiteta druzhby narodov, Moskva

Close metadata

References:

  1. Lutsevich EV, Belov IN. Management of peptic ulcer bleeding. From surgery to therapy? Surgery. 2008;1:4-7. (In Russ.).
  2. Bleau BL, Gostout CJ, Sherman KE, Shaw MJ, Harford WV, Keate RF et al. Recurrent bleeding from peptic ulcer associated with adherent clot: a randomized study comparing endoscopic treatment with medical therapy. Gastrointest Endosc. 2002;56:1-6. doi:10.1067/mge.2002.125365
  3. Levin DA, Watermeyer GA, Deetleefs E, Metz DC, Thomson SR. The efficacy of endoscopic therapy in bleeding peptic ulcer patients. S Afr Med J. 2012;102(5):290-293. doi:10.7196/samj.5457
  4. Namikawa M, Kakizaki S, Takakusaki S, Saito S, Yata Y, Mori M. Gastric ulcer bleeding from a variant left gastric artery accompanied by congenital absence of the splenic artery successfully treated with coil embolization: a case report and review of the literature. J Gastrointestin Liver Dis. 2011;20(4):435-438.
  5. Prabhu NC, Song LM. Achieving hemostasis and the with therapy. Gastrointest Endosc Clin N Am. 2015;25(1):123-145. doi:10.1016/j.giec.2014.09.012
  6. Mashkin AM, Chesnokov EV, Efanov AV, Hoirish AA. Results of treatment and prevention for peptic ulcer disease complicated by bleeding. Surgery in gastroenterology. 2014;6(10):22-25. (In Russ.).
  7. Kim KB, Yoon SM, Youn SJ. Endoscopy for nonvariceal upper gastrointestinal bleeding. Clin Endosc. 2014;47(4):315-319. doi:10.5946/ce.2014.47.4.315
  8. Lu Y, Barkun A.N, Martel M. REASON investigators. Adherence to guidelines: a national audit of the management of acute upper gastrointestinal bleeding. The REASON registry. Can J Gastroenterol Hepatol. 2014;28(9):495-501. doi:10.1155/2014/252307
  9. Maggio D, Barkun A.N, Martel M, Elouali S, Gralnek I.M. Reason Investigators. Predictors of early rebleeding after endoscopic therapy in patients with nonvariceal upper gastrointestinal bleeding secondary to high-risk lesions. Can J Gastroenterol. 2013;27:454-458. doi:10.1155/2013/128760
  10. Afendulov SA, Juravlev GYu. Surgical management of peptic ulcer disease. M.: GEOTAR-Media; 2008. (In Russ.).
  11. Lebedev NV, Klimov AE, Moroz VA. Gastroduodenal bleeding. M.: BINOM; 2015. (In Russ.).
  12. Sazhin VP, Saveliev VM, Sazhin IV, Klimov DE, Sorokin NO. Treatment of patients with high risk of ulcer gastroduodenal rebleeding. Surgery. 2013;7:20-23. (In Russ.).
  13. Encarnacion CE, Kadir S, Beam CA, Payne CS. Gastrointestinal bleeding: treatment with gastrointestinal arterial embolization. Radiology. 1992;183:505-508.
  14. Hwang JH, Fisher DA, Menachem T, Chandrasekhara V, Chathadi K at al. Practice guidelines. The role of endoscopy in the management of acute non-variceal upper GI bleeding. 2012 by the American Society for Gastrointestinal Endoscopy. Gastrointestinal Endoscopy. 2012;75:6:1132-1138. doi:10.1016/j.gie.2012.02.033
  15. Plaza Santos R, Froilán Torres C, Martín Arranz MD, Suárez de Parga JM, Aldeguer Martínez M. Upper gastrointestinal haemorrhage in patients over 80 years-old. Rev. Esp Geriatr Gerontol. 2012;47(3):110-113.
  16. Mirsadraee S, Tirukonda P, Nicholson A, Everett SM, McPherson SJ. Embolization for non-variceal upper gastrointestinal tract haemorrhage: a systematic review. Clin Radiol. 2011;66:500-509. doi:10.1016/j.crad.2010.11.016
  17. Shin Ji Hoon Recent Update of Embolization of Upper Gastrointestinal Tract Bleeding. Korean J Radiol. 2012;13(suppl 1):31-39. doi:10.3348/kjr.2012.13.s1.s31
  18. Ichiro I, Shushi H, Akihiko I, Yasuhiko I, Yasuyuki Y. Empiric transcatheter arterial embolization for massive bleeding from duodenal ulcers: efficacy and complications. J Vasc Interv Radiol. 2011;22:911-916. doi:10.1016/j.jvir.2011.03.001
  19. Lang EK. Transcatheter embolization in management of hemorrhage from duodenal ulcer: long-term results and complications. Radiology. 1992;182:703-707. doi:10.1148/radiology.182.3.1535883
  20. Loffroy R, Guiu B, D’Athis P, Mezzetta L, Gagnaire A, Jouve JL, Ortega-Deballon P, Cheynel N, Cercueil JP, Krausé D. Arterial embolotherapy for endoscopically unmanageable acute gastroduodenal hemorrhage: predictors of early rebleeding. Clin Gastroenterol Hepatol. 2009;7:515-523. doi:10.1016/j.cgh.2009.02.003
  21. Loffroy R, Guiu B. Role of transcatheter arterial embolization for massive bleeding from gastroduodenal ulcers. World J Gastroenterol. 2009;15:5889-5897. doi:10.3748/wjg.15.5889
  22. Jae HJ, Chung JW, Jung AY, Lee W, Park JH. Transcatheter arterial embolization of nonvariceal upper gastrointestinal bleeding with N-butyl cyanoacrylate. Korean J Radiol. 2007;8:48-56. doi:10.3348/kjr.2007.8.1.48
  23. Lee JH, Kim BK, Seol DC, Byun SJ, Park KH, Sung IK, Park HS, Shim CS. Rescue endoscopic bleeding control for nonvariceal upper gastrointestinal hemorrhage using clipping and detachable snaring. Endoscopy. 2013;45:489-492. doi:10.1055/s-0032-1326375
Contact the author
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.

Email Confirmation

An email was sent to test@gmail.com with a confirmation link. Follow the link from the letter to complete the registration on the site.

Email Confirmation

Contact us
If you have any questions, complaints or suggestions, please use this feedback form.
Email
Message
The publishing house "Media Sphere" does not provide treatment services, does not give recommendations on contacting medical institutions and specific specialists, on the prescription of medicines and dietary supplements.
Submit Application

You can become an author of one of our magazines, send a request and we will consider it in during the day.

Name
Phone
E-mail
Message
Login
Registration
E-mail
Password
Forgot Password?

Log in to the site using your account in one of the services

Password recovery
E-mail
Login
Register

We use cооkies to improve the performance of the site. By staying on our site, you agree to the terms of use of cооkies. To view our Privacy and Cookie Policy, please. click here.