Embolotherapy in Acute Arterial Gastrointestinal Hemorrhage

Josef Rösch, Frederick S. Keller

Research output: Chapter in Book/Report/Conference proceedingChapter


After the presentation of the first patient treated by embolization 1970, the authors present potential sources of gastrointestinal (GI) bleeding. The acutely bleeding patients need to have first endoscopic evaluation and eventual treatment. Diagnostic angiography is then described. Embolization with occlusion of the bleeding vessel is presently the preferred approach by most interventionalists. Depending on their preference and size of the bleeding vessel, interventionalists use particles of Gelfoam sponge or polyvinyl alcohol foam, coils, or liquid agents as N-butyl cyanoacrylate for embolization. Characteristics of agents are described, and examples are presented. In extra-alimentary sources of GI bleeding, hemobilia and bleeding from pancreas and fistulas with aorta and major arteries are discussed, and embolotherapy approaches are suggested.

Original languageEnglish (US)
Title of host publicationPanVascular Medicine, Second Edition
PublisherSpringer Berlin Heidelberg
Number of pages10
ISBN (Electronic)9783642370786
ISBN (Print)9783642370779
StatePublished - Jan 1 2015
Externally publishedYes

ASJC Scopus subject areas

  • Medicine(all)
  • Biochemistry, Genetics and Molecular Biology(all)


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