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Varices idiopathiques et secondaires du côlon

Idiopathic and secondary varices of the colon

  • Published:
Acta Endoscopica

RéSUMé

Les varices du côlon sont trés rares. Elles sont une cause possible d’hémorragies intestinales massives ou d’hémorragies avec tendance à la récidive. La plupart des varices sont dues à une hypertension portale ou à une obstruction au niveau de la veine mésentérique inférieure supérieure. Les varices idiopathiques peuvent rester localisées ou s’étendre à travers tout le côlon. La colonoscopie est la technique par excellence pour démontrer la présence des varices dans le côlon. Une colectomie d’urgence pratiquée chez un malade atteint d’une cirrhose du foie pour une hémorragie massive, entraîne une mortalité trés élevée.

Summary

Varices of the colon are an extremely rare condition and a possible cause of massive or recurrent intestinal bleeding. Most varices occur in association with portal hypertension or with obstructed venous flow in the inferior or superior mesenteric veins. Idiopathic varices can remain localized or diffusely involve the whole colon. Colonoscopy proved to be the technique of choice to demonstrate colonie varices. Massive bleeding from varices requiring colectomy in patients with liver cirrhosis is associated with a very high mortality rate.

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Authors and Affiliations

  1. Department of medicine U.Z., St. Raphaël-Gasthuisberg Herestraat 49, 3030, Leuven, Belgique

    G. Coremans, F. Van Gompel, K. Geboes, P. Rutgeerts & G. Vantrappen

Authors
  1. G. Coremans
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  2. F. Van Gompel
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  3. K. Geboes
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  4. P. Rutgeerts
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  5. G. Vantrappen
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Coremans, G., Van Gompel, F., Geboes, K. et al. Varices idiopathiques et secondaires du côlon. Acta Endosc 14, 283–289 (1984). https://doi.org/10.1007/BF02962845

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  • DOI: https://doi.org/10.1007/BF02962845

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