Radiologic diagnosis and treatment of gastrointestinal hemorrhage and ischemia

Zvi Lefkovitz, Mitchell S. Cappell, Robert Lookstein, Harold A. Mitty, Perry S. Gerard

Research output: Contribution to journalReview articlepeer-review

53 Scopus citations

Abstract

Major breakthroughs in catheter, guidewire, and other angiographic equipment currently allow interventional radiologists to diagnose massive life-threatening upper and lower GI hemorrhage and to stop the bleeding safely and effectively using superselective catheterization and microcoil embolization. Similarly, the interventional radiologist can treat acute intestinal ischemia safely and effectively with selective catheterization and papaverine administration and treat chronic mesenteric ischemia by percutaneous angioplasty and stent placement. A multidisciplinary approach, including the gastroenterologist, radiologist, and surgeon, is critical in managing GI bleeding and intestinal ischemia, particularly in patients at high risk or presenting as diagnostic dilemmas.

Original languageEnglish
Pages (from-to)1357-1399
Number of pages43
JournalMedical Clinics of North America
Volume86
Issue number6
DOIs
StatePublished - Nov 2002

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