Diagnostic and Interventional Radiology (Mar 2018)

Analysis of weight changes after left gastric artery embolization in a cancer-naive population

  • David J. Kim,
  • Hari S. Raman,
  • Amber Salter,
  • Raja Ramaswamy,
  • Andrew J. Gunn,
  • Clifford R. Weiss,
  • Olaguoke Akinwande

DOI
https://doi.org/10.5152/dir.2018.17412
Journal volume & issue
Vol. 24, no. 2
pp. 94 – 97

Abstract

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PURPOSE:We aimed to evaluate weight changes after left gastric artery (LGA) embolization in a retrospective cancer-naive cohort.METHODS:A retrospective study was conducted to identify patients who underwent LGA embolization for gastrointestinal bleeding (GI). Patients with known cancer diagnoses at the time of LGA embolization were excluded. Pre- and postprocedure weights were assessed. Statistical analysis was performed using paired t-test and Wilcoxon signed-rank test.RESULTS:A total of 39 patients were identified. In 21 patients who had documented pre- and postprocedural weights, a median of 16.3 kg weight loss (P = 0.045) was observed over a median time of 12 months (range, 2–72). In patients who had pre- and postprocedure endoscopies (n=6), 2 had worsening ulcers following LGA embolization and 4 had stable or no abnormal findings.CONCLUSION:Our preliminary observation suggests that LGA embolization is well tolerated and results in unintended weight loss. Larger studies are needed to confirm these preliminary findings.