Esophageal embolization for hemostasis in cancer patients presenting with upper gastrointestinal bleeding in the setting of antiplatelet therapy: A case report.
| Title: | Esophageal embolization for hemostasis in cancer patients presenting with upper gastrointestinal bleeding in the setting of antiplatelet therapy: A case report. |
|---|---|
| Authors: | Anh NT; Department of Intensive Care - Resuscitation - Poison Control, Friendship Hospital, Hanoi, Vietnam.; Khoa TD; Department of Radiology, Friendship Hospital, Hanoi, Vietnam.; Thanh TTT; Department of Radiology, Friendship Hospital, Hanoi, Vietnam.; Dat LH; Department of Radiology, Friendship Hospital, Hanoi, Vietnam.; Mai TTN; Department of Radiology, Friendship Hospital, Hanoi, Vietnam.; Dung LT; Department of Neurosurgery, Viet Duc University Hospital, Hanoi, Vietnam.; Vu LT; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam.; Loc TQ; Department of Neurosurgery, Viet Duc University Hospital, Hanoi, Vietnam.; Department of Radiology, University of Medicine and Pharmacy (VNU-UMP), Vietnam National University, Hanoi, Vietnam. |
| Source: | Radiology case reports [Radiol Case Rep] 2025 Oct 31; Vol. 21 (1), pp. 372-375. Date of Electronic Publication: 2025 Oct 31 (Print Publication: 2026). |
| Publication Type: | Case Reports; Journal Article |
| Language: | English |
| Journal Info: | Publisher: Elsevier Country of Publication: Netherlands NLM ID: 101467888 Publication Model: eCollection Cited Medium: Print ISSN: 1930-0433 (Print) Linking ISSN: 19300433 NLM ISO Abbreviation: Radiol Case Rep Subsets: PubMed not MEDLINE |
| Imprint Name(s): | Publication: 2015-: Amsterdam : Elsevier; Original Publication: Seattle, WA : University of Washington, 2006- |
| Abstract: | Upper gastrointestinal bleeding (UGIB) is a common cause of hospitalization in older patients and carries high morbidity and mortality if not managed properly. Risk factors for developing UGIB include advanced age, Helicobacter pylori infection, medication use (NSAIDs, aspirin, P2Y12 inhibitors, anticoagulants, and steroids), and esophageal cancer, which, although less common, is an important cause in clinical practice. Hemostatic intervention is mandatory for these patients, with various methods available, including endoscopic hemostasis, transarterial embolization, and surgery. We report the case of a 75-year-old male patient on anticoagulant therapy after coronary stenting who presented with UGIB due to an esophageal tumor and underwent timely hemostatic embolization. This case highlights the role of endovascular intervention in patients with gastrointestinal bleeding who are on anticoagulant therapy.; (© 2025 The Authors. Published by Elsevier Inc. on behalf of University of Washington.) |
| References: | Gastroenterology. 2020 Sep;159(3):1120-1128. (PMID: 32574620); Clin Geriatr Med. 2021 Feb;37(1):155-172. (PMID: 33213769); Diagn Interv Imaging. 2017 Jan;98(1):51-56. (PMID: 27178757); Clin Case Rep. 2017 Nov 07;5(12):2074-2079. (PMID: 29225860); Diagn Interv Radiol. 2021 Jul;27(4):519-523. (PMID: 34313237); Diagn Interv Imaging. 2015 Jul-Aug;96(7-8):731-44. (PMID: 26054245); Ann N Y Acad Sci. 2014 Sep;1325:242-68. (PMID: 25266029); Front Oncol. 2023 May 04;13:1184710. (PMID: 37213275); World J Gastrointest Endosc. 2022 Oct 16;14(10):636-641. (PMID: 36303813); World J Surg Oncol. 2016 Feb 24;14:54. (PMID: 26912065); Gan To Kagaku Ryoho. 2013 Nov;40(12):2167-9. (PMID: 24394048) |
| Contributed Indexing: | Keywords: Esophageal embolization; Gastrointestinal hemorrhage; Gastrointestinal hemorrhage management |
| Entry Date(s): | Date Created: 20251117 Date Completed: 20251117 Latest Revision: 20251120 |
| Update Code: | 20260130 |
| PubMed Central ID: | PMC12615272 |
| DOI: | 10.1016/j.radcr.2025.09.073 |
| PMID: | 41245059 |
| Database: | MEDLINE |
Case Reports; Journal Article