Role of Endovascular Transcatheter Selective Arterial Embolization In Management of Acute Gastrointestinal Bleeding

Abstract

Gastrointestinal bleeding is a common mostly self-limited disorder with multiple consequences if not treated properly . Most of the cases respond to medical and endoscopic treatment which are consider the main lines of management. Yet in refractory cases in which bleeding persist even after traditional management here come the role of Endovascular embolization .

The classification of GI bleeding is performed according to it’s location in relation to ligament of Treitz into upper and lower GI bleeding . Etiology of Gastrointestinal bleeding is highly variable . As regard Upper GI bleeding, The most common cause of Non variceal bleeding is a complication of peptic ulcer disease , yet Mallory- Weiss tear, gastroduodenal erosions, Arterio-venous malformations and bleeding secondary tumours are also frequent causes .Lower GI bleeding is most commonly due to diverticulosis , also