EXPERIENCE OF ENDOVASCULAR EMBOLIZATION FOR RECTAL BLEEDING IN PATIENTS WITH RECTAL CANCER

Abstract

The article is devoted to the most dangerous complication of colorectal cancer — bleeding. The clinical group included 32 patients with stages 3–4 of the disease. Endovascular embolization by microspheres was performed in 18 patients. The bleeding was successfully stopped in all operated patients. When monitoring the main laboratory blood values in the postoperative period, the development of a systemic inflammatory reaction was not noted. Flexible rectosigmoscopy performed after endovascular embolization did not reveal a single case of necrosis of the intestinal wall above and below the tumor. In order to prevent intestinal ischemia, it is advisable to introduce microspheres in a volume of ⅓ from the circulatory channel of the embolized area. Endovascular embolization by microspheres is an effective method of hemostasis in patients with colorectal cancer complicated by bleeding.