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Journal of Gastroenterology

, Volume 40, Issue 12, pp 1155–1157 | Cite as

Crohn's disease with life-threatening hemorrhage from terminal ileum: successful control by superselective arterial embolization

  • Yoshihiro Kazama
  • Toshiaki Watanabe
  • Masaaki Akahane
  • Naoki Yoshioka
  • Kuni Ohtomo
  • Hirokazu Nagawa
Case report

Abstract

A case of life-threatening lower gastrointestinal hemorrhage from Crohn's disease is reported. Several promising studies have recently been published that describe superselective embolization for the treatment of massive lower gastrointestinal hemorrhage in patients with bleeding colonic diverticular disease and angiodysplasia, and success rates of 74%–93% have been reported. But in patients with Crohn's disease, successful superselective embolization has rarely been reported. This is a report of successful superselective embolization in a patient with Crohn's disease; this should be the initial treatment of choice in Crohn's disease in an attempt to avoid surgical resection, because repeated resections predispose patients to the development of short-bowel syndrome.

Key words

Crohn's disease lower gastrointestinal hemorrhage superselective embolization 

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Copyright information

© Springer-Verlag Tokyo 2005

Authors and Affiliations

  • Yoshihiro Kazama
    • 1
  • Toshiaki Watanabe
    • 1
  • Masaaki Akahane
    • 2
  • Naoki Yoshioka
    • 2
  • Kuni Ohtomo
    • 2
  • Hirokazu Nagawa
    • 1
  1. 1.Department of Surgical OncologyThe University of TokyoTokyoJapan
  2. 2.Department of RadiologyThe University of TokyoTokyoJapan

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