タジマ　ヒロユキ   TAJIMA Hiroyuki   田島　廣之    所属   埼玉医科大学  医学部 国際医療センター　放射線科（放射線腫瘍科、画像診断、核医学科）    職種   特任教授
論文種別	学術雑誌(原著)
言語種別	英語
査読の有無	査読あり
表題	Glue Embolization for Endoscopically Unmanageable Gastrointestinal Haemorrhage
掲載誌名	正式名：HEPATO-GASTROENTEROLOGY ISSNコード：01726390
出版社	H G E UPDATE MEDICAL PUBLISHING S A
巻・号・頁	59(116),1126-1130頁
著者・共著者	Satoru Murata,Shiro Onozawa,Ken Nakazawa,Takahiko Mine,Tatsuo Ueda,Hiroyuki Tajima,Hiroshi Yoshida,Shinichiro Kumita
発行年月	2012/06
概要	Background/Aims: To evaluate the clinical feasibility of embolization with n-butyl cyanoacrylate (NBCA) for endoscopically unmanageable non-variceal gastrointestinal hemorrhage (GIH). Methodology: Between June 2004 and May 2009, 61 patients with confirmed acute upper and/or lower GIH underwent emergency embolization for haemorrhage control; NBCA was used in 28 of these patients, all of whom were in shock despite receiving blood transfusions. The results were studied retrospectively. Clinical parameters and embolization data were assessed for technical success, clinical success and outcome. Results: Technical success was achieved in all patients. Clinical success was achieved in 19 (68%) of the 28 patients. The mortality rate was 25% (7 patients). The cause of death was disseminated intravascular coagulation (DIC) in 6 patients and heart failure in 1. The presence of coagulopathy or DIC significantly decreased the degree of clinical success (p=0.015, p=0.001, respectively) and increased the mortality rate (p=0.013, p<0.001, respectively). Unfortunately, 86% patients who had DIC before embolization, died. Conclusions: NBCA embolization is technically feasible and is effective for
DOI	10.5754/hge11631