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Transarteriel embolisering som behandling af blødende gastroduodenale ulcera

Forfatter(e)
Ida Roost Rasmussen1, Ismail Gögenur2 & Mai-Britt Tolstrup1
1) Gastroenheden, Herlev Hospital 2) Kirurgisk Afdeling, Sjællands Universitetshospital, Køge

Ugeskr Læger 2019;181:V05180369
Reference: 
Ugeskr Læger 2019;181:V05180369

Ida Roost Rasmussen, Ismail Gögenur & Mai-Britt Tolstrup:

Transarterial embolisation for gastrointestinal bleeding caused by an ulcer

Ugeskr Læger 2019;181:V05180369

Upper gastrointestinal bleeding caused by an ulcer is a common condition with approximately 1,500 admissions a year. The mortality is roughly 9%, with an increased risk in elderly with multiple comorbidities. First-line treatment is endoscopic double therapy. If haemostasis is not achieved and/or repeated rebleeding occurs, the choice of treatment is transarterial embolisation (TAE) or traditional surgery.
TAE has a higher rate of rebleeding than surgery, but the mortality is comparable, and TAE has fewer complications. Prophylactic TAE may reduce the rate of re-intervention in patients, who have a high risk of rebleeding.

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