Endoscopy 2004; 36(6): 558-561
DOI: 10.1055/s-2004-814423
Case Report
© Georg Thieme Verlag Stuttgart · New York

Ultrasound-Guided Radiofrequency Ablation: A New Treatment Option after Failure to Stop Severe Acute Upper Gastrointestinal Tumor Bleeding Using Endoscopic Techniques

A.  Stang1 , C.-U.  von Seydewitz1 , S.  Celebcioglu1 , H.  Keles1 , F.  Hagenmüller2 , D.  Braumann1
  • 1Second Department of Internal Medicine, Allgemeines Krankenhaus Altona, Hamburg, Germany
  • 2First Department of Internal Medicine, Allgemeines Krankenhaus Altona, Hamburg, Germany
Weitere Informationen

Publikationsverlauf

Submitted 11 July 2003

Accepted after Revision 17 September 2003

Publikationsdatum:
17. Juni 2004 (online)

Introduction

Percutaneous ultrasound-guided radiofrequency ablation has been used for thermal destruction of focal malignancy in several solid organs, including the liver, kidney, adrenal gland, and spleen [1] [2] [3] [4]. We successfully extended the application of ultrasound-guided radiofrequency ablation to control severe acute upper gastrointestinal bleeding in a patient with an inoperable gastric carcinoma which was refractory to endoscopic treatment and unsuitable for angiographic embolization. To our knowledge, this is the first report of the use of radiofrequency ablation to treat a tumor within the gastrointestinal tract and to stop gastrointestinal bleeding using a minimally invasive percutaneous approach.

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A. Stang, M. D.

Second Department of Internal Medicine

Allgemeines Krankenhaus Altona · Paul-Ehrlich-Straße 1 · D-22763 Hamburg · Germany

Fax: +49-8822-4904 ·

eMail: Axel.Stang@ak-altona.Ibk-hh.de