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Arterial Interventions: Gastrointestinal

  • John M. Racadio
Chapter

Abstract

In children, arterial interventions involving the gastrointestinal (GI) tract and liver are performed primarily for diagnosis and therapy for GI bleeding, liver trauma, and complications of liver transplantation. GI bleeding in infants and children is a fairly common problem in the practice of general pediatrics and accounts for about 10–15 % of referrals to pediatric gastroenterologists. Intervention for liver trauma and complications of liver transplant are limited to Level I trauma centers and transplant centers, respectively. Therefore, this chapter will focus on GI bleeding.

Keywords

Superior Mesenteric Artery Transjugular Intrahepatic Portosystemic Shunt Inferior Mesenteric Artery Transcatheter Embolization Liver Trauma 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

References

  1. 1.
    Arain Z, Rossi TM. Gastrointestinal bleeding in children: an overview of conditions requiring nonoperative management. Semin Pediatr Surg. 1999;8(4):172–80.PubMedGoogle Scholar
  2. 2.
    Meyerovitz MF, Fellows KE. Angiography in gastrointestinal bleeding in children. AJR Am J Roentgenol. 1984;143(4):837–40.PubMedCrossRefGoogle Scholar
  3. 3.
    Whitaker SC, Gregson RH. The role of angiography in the investigation of acute or chronic gastrointestinal haemorrhage. Clin Radiol. 1993;47(6):382–8.PubMedCrossRefGoogle Scholar
  4. 4.
    Rollins ES, et al. Angiography is useful in detecting the source of chronic gastrointestinal bleeding of obscure origin. AJR Am J Roentgenol. 1991;156(2):385–8.PubMedCrossRefGoogle Scholar
  5. 5.
    Rahn III NH, et al. Diagnostic and interventional angiography in acute gastrointestinal hemorrhage. Radiology. 1982;143(2):361–6.PubMedGoogle Scholar
  6. 6.
    Walker TG, Salazar GM, Waltman AC. Angiographic evaluation and management of acute gastrointestinal hemorrhage. World J Gastroenterol. 2012;18(11):1191–201.PubMedCentralPubMedCrossRefGoogle Scholar
  7. 7.
    Nusbaum M, Baum S. Radiographic demonstration of unknown sites of gastrointestinal bleeding. Surg Forum. 1963;14:374–5.PubMedGoogle Scholar
  8. 8.
    Orellana P, et al. [99mTc red blood cell scintigraphy for the assessment of active gastrointestinal bleeding]. Rev Med Chil. 1998;126(4):413–8.PubMedGoogle Scholar
  9. 9.
    Lee J, et al. Red blood cell scintigraphy in children with acute massive gastrointestinal bleeding. Pediatr Int. 2008;50(2):199–203.PubMedCrossRefGoogle Scholar
  10. 10.
    Gunderman R, et al. Scintigraphic screening prior to visceral arteriography in acute lower gastrointestinal bleeding. J Nucl Med. 1998;39(6):1081–3.PubMedGoogle Scholar
  11. 11.
    Yoon W, et al. Acute massive gastrointestinal bleeding: detection and localization with arterial phase multi-detector row helical CT. Radiology. 2006;239(1):160–7.PubMedCrossRefGoogle Scholar
  12. 12.
    Baum S. Arteriographic diagnosis and treatment of gastrointestinal bleeding. In: Baum S, Pentecost M, editors. Abram’s angiography interventional radiology. Philadelphia: Lippincott Williams & Wilkins; 2006. p. 488.Google Scholar
  13. 13.
    Johnston C, et al. Use of provocative angiography to localize site in recurrent gastrointestinal bleeding. Cardiovasc Intervent Radiol. 2007;30(5):1042–6.PubMedCrossRefGoogle Scholar
  14. 14.
    Rosch J, et al. Interventional angiography in the diagnosis of acute lower gastrointestinal bleeding. Eur J Radiol. 1986;6(2):136–41.PubMedGoogle Scholar
  15. 15.
    Routh WD, et al. Meckel’s diverticula: angiographic diagnosis in patients with non-acute hemorrhage and negative scintigraphy. Pediatr Radiol. 1990;20(3):152–6.PubMedCrossRefGoogle Scholar
  16. 16.
    Faris HC, Whitley JE. Angiographic demonstration of Meckel’s diverticulum. Case report and review of the literature. Radiology. 1973;108(2):285–6.PubMedGoogle Scholar
  17. 17.
    Takeda I, et al. A bleeding Meckel’s diverticulum diagnosed by arteriography. Gastroenterol Jpn. 1977;12(1):76–9.PubMedGoogle Scholar
  18. 18.
    Meyerovitz MF, Fellows KE. Typhlitis: a cause of gastrointestinal hemorrhage in children. AJR Am J Roentgenol. 1984;143(4):833–5.PubMedCrossRefGoogle Scholar
  19. 19.
    Donnelly LF, et al. CT appearance of clinically occult abdominal hemorrhage in children. AJR Am J Roentgenol. 1998;170(4):1073–6.PubMedCrossRefGoogle Scholar
  20. 20.
    Hemingway AP. Angiodysplasia as a cause of iron deficiency anaemia. Blood Rev. 1989;3(3):147–51.PubMedCrossRefGoogle Scholar
  21. 21.
    de la Torre Mondragon L, et al. Angiodysplasia of the colon in children. J Pediatr Surg. 1995;30(1):72–5.PubMedCrossRefGoogle Scholar
  22. 22.
    Phillips J, Yao J. Congenital vascular malformations. In: Neiman H, editor. Angiography of vascular disease. New York: Churchill Livingston; 1985. p. 393–419.Google Scholar
  23. 23.
    Hackworth CA, et al. Transjugular intrahepatic portosystemic shunt creation in children: initial clinical experience. Radiology. 1998;206(1):109–14.PubMedGoogle Scholar
  24. 24.
    Loffroy R, et al. Embolization of acute nonvariceal upper gastrointestinal hemorrhage resistant to endoscopic treatment: results and predictors of recurrent bleeding. Cardiovasc Intervent Radiol. 2010;33(6):1088–100.PubMedCrossRefGoogle Scholar
  25. 25.
    Behringer GE, Albright NL. Diverticular disease of the colon. A frequent cause of massive rectal bleeding. Am J Surg. 1973;125(4):419–23.PubMedCrossRefGoogle Scholar
  26. 26.
    Olsen WR. Hemorrhage from diverticular disease of the colon. The role of emergency subtotal colectomy. Am J Surg. 1968;115(2):247–63.PubMedCrossRefGoogle Scholar
  27. 27.
    Athanasoulis CA, et al. Mesenteric arterial infusions of vasopressin for hemorrhage from colonic diverticulosis. Am J Surg. 1975;129(2):212–6.PubMedCrossRefGoogle Scholar
  28. 28.
    Kadir S. Principles of management of gastrointestinal bleeding. In: Kadir S, editor. Current practice of interventional radiology. Philadelphia: BC Decker; 1991. p. 408–14.Google Scholar
  29. 29.
    Kadir S. Treatment of pyloroduodenal bleeding. In: Kadir S, editor. Current practice of interventional radiology. Philadelphia: BC Decker; 1991. p. 418–24.Google Scholar
  30. 30.
    Gomes AS, Lois JF, McCoy RD. Angiographic treatment of gastrointestinal hemorrhage: comparison of vasopressin infusion and embolization. AJR Am J Roentgenol. 1986;146(5):1031–7.PubMedCrossRefGoogle Scholar
  31. 31.
    Eckstein MR, et al. Gastric bleeding: therapy with intraarterial vasopressin and transcatheter embolization. Radiology. 1984;152(3):643–6.PubMedGoogle Scholar
  32. 32.
    Kandarpa K. Acute gastrointestinal bleeding. In: Aruny K, Machan L, editors. Handbook of interventional radiologic procedures. Boston: Little, Brown and Company; 1996. p. 130–8.Google Scholar
  33. 33.
    Browder W, Cerise EJ, Litwin MS. Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg. 1986;204(5):530–6.PubMedCentralPubMedCrossRefGoogle Scholar
  34. 34.
    Athanasoulis CA, et al. Angiography: its contribution to the emergency management of gastrointestinal hemorrhage. Radiol Clin North Am. 1976;14(2):265–80.PubMedGoogle Scholar
  35. 35.
    Roy CC, Morin CL, Weber AM. Gastrointestinal emergency problems in paediatric practice. Clin Gastroenterol. 1981;10(1):225–54.PubMedGoogle Scholar
  36. 36.
    Guy GE, et al. Acute lower gastrointestinal hemorrhage: treatment by superselective embolization with polyvinyl alcohol particles. AJR Am J Roentgenol. 1992;159(3):521–6.PubMedCrossRefGoogle Scholar
  37. 37.
    Prochaska JM, Flye MW, Johnsrude IS. Left gastric artery embolization for control of gastric bleeding: a complication. Radiology. 1973;107(3):521–2.PubMedGoogle Scholar
  38. 38.
    Cherian MP, et al. Arterial interventions in gastrointestinal bleeding. Semin Intervent Radiol. 2009;26(3):184–96.PubMedCentralPubMedCrossRefGoogle Scholar
  39. 39.
    Kwak HS, Han YM, Lee ST. The clinical outcomes of transcatheter microcoil embolization in patients with active lower gastrointestinal bleeding in the small bowel. Korean J Radiol. 2009;10(4):391–7.PubMedCentralPubMedCrossRefGoogle Scholar
  40. 40.
    Sudheendra D, et al. Radiologic techniques and effectiveness of angiography to diagnose and treat acute upper gastrointestinal bleeding. Gastrointest Endosc Clin N Am. 2011;21(4):697–705.PubMedCrossRefGoogle Scholar
  41. 41.
    Kickuth R, et al. Acute lower gastrointestinal hemorrhage: minimally invasive management with microcatheter embolization. J Vasc Interv Radiol. 2008;19(9):1289–96.e2.PubMedCrossRefGoogle Scholar
  42. 42.
    Okazaki M, et al. Emergent embolotherapy of small intestine hemorrhage. Gastrointest Radiol. 1992;17(3):223–8.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 2014

Authors and Affiliations

  1. 1.Department of RadiologyCincinnati Children’s Hospital and Medical CenterCincinnatiUSA

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