Review Note
Last Update: 02/18/2024 05:30 AM
Current Deck: Part 2::6. High Yield Questions::Upper GI
PublishedCurrently Published Content
Front
What are
the options for local palliation of gastric cancer bleeding? Include in your
answer the advantages and disadvantages of each option. (3)
Back
- Endoscopic management (Gastroenterology)
- Injection therapy
- Thermal contact probes
- Argon plasma coagulation (non-contact thermal therapy)
- Advantages: direct visualisation of bleed is possible, immediate effect of achieving arterial or venous bleed
- Anaesthetics risk. Technically difficult with high volume bleed. Risk of perforation with thermal therapy.
- Overall rebleeding risk following endoscopic management is high.
- Palliative RT
- No anaesthetics required. More lasting haemostasis compared to above.
- Often takes longer to plan and effect to be seen.
- More effective for venous bleeds, arterial bleeds are harder to control.
- Angiographic embolisation (Interventional radiology)
- Can be performed with light sedation
- There must be an accessible artery for embolization
- Not effective for venous bleeds via multiple channels
Further information, not for memorising (no card)
Exam
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