A CASE OF HEMGRRHAGIC GASTRIC ULCER WITH RUPTURED ANEURYSM IN WHICH COMPLETE HEMOSTASISWAS ACHIEVED BY TRANSCATHETER ARTERIAL EMBOLIZATION
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During admission to our hospital for Herpes Zoster, 72-year-old male suffered from recurrent gastric bleeding due to gastric ulcer with humped artery. As two times endoscopic hemostasis was not effective, arteriography for the parietal branch of left gastric artery was carried out. Arteriography showed an aneurysm at the bleeding site. Endoscopic hemostasis was considered to be ineffective for the bleeding from the aneurysm, because of thick artery in diameter. Transcatheter arterial embolization (TAE) utilizing N-buty1-2-cyano-acrylate achieved complete hemostasis. Endoscopic hemostasis seems to have limitation in gastric aneurysm. So it is important to refrain from repeating endoscopic hemostasis and to choose TAE as a hemostatic procedure in this case.
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社団法人 日本消化器内視鏡学会 | 論文
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