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Patients with acute nonvariceal upper gastrointestinal bleeding (UGIB) who fail endoscopic and pharmacologic therapy may be referred for radiographic therapy (RT), including embolization. To determine outcomes of RT in this setting, investigators retrospectively reviewed data on 74 adults (mean age, 60) who presented with acute UGIB and underwent catheter angiography. Of these, 34 were found to have active bleeding and 40 to have no active bleeding.
A total of 31 of 33 eligible patients with active bleeding underwent technically successful therapeutic embolization. Of 40 without active bleeding, 22 received no embolotherapy, and the remaining 18 patients underwent technically successful prophylactic embolization.
The 30-day clinical success r…