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Risk factors for rebleeding and mortality following prophylactic transarterial embolization for patients with high-risk peptic ulcer bleeding: a single-center retrospective cohort study.
Surg Endosc
April 2024
Department of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Article Synopsis
- The study investigated risk factors for rebleeding and 30-day mortality in patients who underwent prophylactic transarterial embolization for peptic ulcer bleeding at Rigshospitalet, Denmark, from 2016 to 2021.
- Out of 176 patients, 25% experienced rebleeding and 15% died within 30 days; factors like not following a standardized embolization procedure significantly increased these risks.
- More than one endoscopy before the procedure raised rebleeding odds, while a high Rockall-score correlated with increased mortality; factors like active bleeding did not impact these outcomes.
Gastroduodenal artery embolization for peptic ulcer hemorrhage refractory to endoscopic intervention: A single-center experience.
J Clin Imaging Sci
June 2022
Department of Radiology, University of Missouri, Columbia, Missouri, United States.
Objective: To determine the efficacy of gastroduodenal artery embolization (GDAE) for bleeding peptic ulcers that failed endoscopic intervention. To identify incidence and risk factors for failure of GDAE.
Materials And Methods: A retrospective review of patients who underwent GDAE for hemorrhage from peptic ulcer disease refractory to endoscopic intervention were included in the study.
Long-Term Surgical Complications After Pancreatoduodenectomy: Incidence, Outcomes, and Risk Factors.
J Gastrointest Surg
July 2020
Department of Surgery, University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
Article Synopsis
- - The study analyzes long-term complications following pancreatoduodenectomy (PD), finding that about 31.5% of patients experience issues such as incisional hernia, biliary stricture, and pancreatitis after over 90 days.
- - A total of 198 out of 628 long-term PD survivors faced complications, with 17.2% needing further interventions, highlighting the significance of these complications on patient care.
- - Key risk factors for these long-term complications include obesity, postoperative infections, prolonged hospital stays, and the type of surgical approach used, suggesting areas for potential improvement in patient management.
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.
View Article and Find Full Text PDFEUS-guided gastroenterostomy in management of benign gastric outlet obstruction.
Endosc Int Open
March 2018
Division of Gastroenterology and Hepatology, Johns Hopkins Medical Institutions, Baltimore, Maryland, United States.
Background And Study Aims: Endoscopic ultrasound-guided gastroenterostomy (EUS-GE) in malignant gastric outlet obstruction (GOO) appears to be promising; however, its role in benign GOO is unclear. The aim of this study was to ascertain the clinical efficacy and safety of EUS-GE in benign GOO.
Patients And Methods: This was an international retrospective series involving 5 tertiary centers.
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