Impact of emergency angiography in massive XXXX .

@entity1 @entity2758 @entity66 @entity548 @entity360 @entity3488
Fifty @entity1 with massive @entity360 were initially managed with emergency angiography. The average age was 67.2; mean hematocrit, 23.7; and average transfusion, 7.6 units. Thirty-six @entity1 (72%) had @entity548 site located; @entity548 sites were distributed throughout the colon. Etiologies of @entity548 included @entity66 (19 @entity1 ) and @entity2758 (15 @entity1 ). Twenty of 22 (91%) @entity1 receiving selective intra-arterial @entity3488 stopped @entity548 ; however, 50% rebled on cessation of @entity3488 . Thirty-five of 50 (70%) @entity1 underwent surgery, with 57% operated on electively after @entity3488 therapy. Seventeen @entity1 had segmental colectomy, with no rebleeding. Nine of the 17 @entity1 had @entity66 in the remaining colon. Operative morbidity in these 35 @entity1 was significantly improved when compared to previously reported @entity1 undergoing emergency subtotal colectomy without angiography (8.6% vs. 37%) (p less than 0.02). Emergency angiography successfully locates the @entity548 site, allowing for segmental colectomy. @entity3488 infusion transiently halts @entity548 , permitting elective surgery in many instances.
