Endoscopic management of bleeding gastrointestinal tumors.
Endoscopic therapy
Hemospray
argon plasma coagulation
endoloop
gastrointestinal tumor bleed
injection
radiofrequency ablation
Journal
Annals of gastroenterology
ISSN: 1108-7471
Titre abrégé: Ann Gastroenterol
Pays: Greece
ID NLM: 101121847
Informations de publication
Date de publication:
Historique:
received:
21
02
2019
accepted:
01
04
2019
entrez:
3
7
2019
pubmed:
3
7
2019
medline:
3
7
2019
Statut:
ppublish
Résumé
Bleeding due to primary or metastatic gastrointestinal (GI) tumors remains clinically challenging. Bleeding is further complicated in the setting of underlying friable neovascularization of tumors and coagulopathy. Endoscopic hemostatic therapeutic options have traditionally involved the use of thermal/mechanical therapy in conjunction with injection therapy. This review looks at the role of endoscopy in managing tumor-related GI bleeding, specifically contact and non-contact thermal therapy, radiofrequency ablation, endoloops, epinephrine and ethanol injection, and, most recently, Hemospray. Overall, current data show that endoscopic therapy is limited, with high rebleeding rates and a failure to improve overall outcomes. Larger clinical trials are needed to determine the efficacy of current techniques and establish therapeutic algorithms, with the goal of achieving primary hemostasis and reducing rebleeding rates.
Identifiants
pubmed: 31263356
doi: 10.20524/aog.2019.0391
pii: AnnGastroenterol-32-346
pmc: PMC6595926
doi:
Types de publication
Journal Article
Review
Langues
eng
Pagination
346-351Déclaration de conflit d'intérêts
Conflict of Interest: None
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