Transcatheter Arterial Embolization for Non-Variceal Upper Gastrointestinal Bleeding: Does the Number of Prior EGDs Matter?

ABSTRACT:

Background and aims

Transcatheter arterial embolization (TAE) is an important therapy for non-variceal upper gastrointestinal bleeding (NVUGIB) when endoscopic intervention fails. The impact of repeated esophagogastroduodenoscopies (EGDs) before TAE on clinical outcomes remains unclear. This study aimed to evaluate the association between the number of EGDs before TAE and outcomes including rebleeding, mortality, and hospitalization.

Methods

We conducted a retrospective cohort study of adults with NVUGIB undergoing TAE at a single tertiary center (2010-2023). Patients were stratified by the number of pre-TAE EGDs (0, 1, and ≥ 2), embolization strategy (therapeutic, empiric, no embolization), number of embolic agents, and vessel involvement. Primary outcome was 30-day rebleed

SUBMITTER: Aliyev N 

PROVIDER: S-EPMC12720415 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature