GI Bleed - Munoz

GI Bleed - Munoz - QuickTime and a TIFF (Uncompressed)...

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QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture. Amanda A. Muñoz, MD PGY-1 Trauma Conference December 18, 2006 GASTROINTESTINAL BLEEDING: Interventional Radiology Procedures and Indications for Operation
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2 QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture. Quiz This picture includes: a.) Amanda b.) Cindy c.) Bea d.) Stephanie QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture.
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3 QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture. GIB: Indications for IR Failure of endoscopic management (20%) Non-diagnostic endoscopy (10%-40%) Poor surgical candidates 1. Selective mesenteric angiography 2. Provocative angiography GOALS: definitive treatment or reduction in surgical morbidity
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4 QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture. GIB: IR Rx Options Intra-arterial vasopressin Arteriolar constriction and bowel wall contraction Long half-life Success rates 60-100% LGIB, complications 10- 20%, rebleed 50% Only controls 15-30% of pyloroduodenal sources Transcatheter embolization - Gelatin sponge, microcoils, polyvinyl alcohol, balloon - 73 -100% success rate, particularly in the UGI tract
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5 QuickTimeª and a TIFF (Uncompressed) decompressor are needed to see this picture. UGIB: IR Rx
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GI Bleed - Munoz - QuickTime and a TIFF (Uncompressed)...

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