Angiographic diagnosis and transcatheter therapy for gastrointestinal hemorrhage

Objective: To evaluate the clinical value of angiographic diagnosis and effectiveness of transcatheter therapy in gastrointestinal arterial hemorrhage. Methods:DSA of celiac, superior mesenteric and inferior mesentic arteries were performed in 23 patients with gastrointestinal hemorrhage. According to the revealed causes and positions of bleeding during angiography, intraarterial vasopressin infusion or embolus therapy was used in the bleeding branch artery. Results:60.87% of these patients were identified by angiography. 17 cases treated with vasopressin infusion were effective,one case died of multi organ function failure,six cases treated by embolus therapy were all successful with norecurrent. There was no other important syndromes happened. Conclusion:DSA and interventional therapy are of great value for arterial gastrointestinal hemorrhage,especially for the cases diagnosised uncertainly or treated uneffectively by drugs.