| Radiologic Intervention for Endoscopy-Uncontrolled Bleeding in Ischemic Colitis: A Case Series |
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Jaehyung Park1, Jae Woo Yeon2, Jun-young Seo3 |
1Division of Gastroenterology, Department of Internal Medicine, Bundang Jesaeng Hospital, Seongnam, Korea
2Department of Radiology, Bundang Jesaeng Hospital, Seongnam, Korea
3Department of Gastroenterology, CHA Bundang Medical Center, Seongnam, Korea |
| 허혈성 대장염에서 내시경 지혈로 조절되지 않는 출혈에 대한 영상의학적 중재 치료: 증례군 보고 |
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박재형1, 연재우2, 서준영3 |
1분당제생병원 소화기내과
2분당제생병원 영상의학과
3분당차병원 소화기내과 |
Correspondence:
Jun-young Seo, Tel: +82-31-780-3314, Fax: +82-31-780-5016, Email: terryxom11@naver.com
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Received: 16 April 2025 • Revised: 18 July 2025 • Accepted: 5 August 2025 |
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| Abstract |
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Ischemic colitis (IC), a common cause of lower gastrointestinal bleeding, is typically managed with conservative treatment. However, when hematochezia persists despite endoscopic hemostasis, radiologic intervention becomes a viable therapeutic alternative. This report aims to present three cases of IC associated with massive bleeding successfully treated using radiologic therapies. One patient with IC secondary to occlusive disease, characterized by significant stenosis at the superior mesenteric artery orifice, underwent stent placement, while the other two patients with non-occlusive IC were treated with embolization using microcatheters and Gelfoam. All cases resulted in technical and clinical success, with no procedure-related complications. This case series highlights the potential role of radiologic intervention as an effective, minimally invasive treatment option for select patients with IC who present with persistent hematochezia despite conservative or endoscopic management. |
| Key Words:
Colitis, ischemic; Gastrointestinal hemorrhage; Embolization, therapeutic |
| 주제어:
허혈성 대장염; 위장관 출혈; 치료적 색전술 |
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