Radio-Opaque Coil Localization for Small-Bowel Resection

Prior to other diagnostic methods, capsule endoscopy is performed for patients with suspected small-bowel bleeding and stable clinical condition. In contrast, angiography is used to manage patients with persistent bleeding or hemodynamic instability. Following angiography-based confirmation of bleeding, hemostasis can be successfully achieved. However, rebleeding may frequently occur, and repeated procedures may induce complications. In such cases, surgical treatment is necessary. During surgery, the swift, precise localization of the bleeding site is of paramount important, along with accurate minimization of the extent of resection. Recently, a coil was employed for embolization to locate the bleeding site, followed by surgical resection, and this case is discussed.