Digestive Diseases and Sciences

, Volume 32, Issue 4, pp 422–427

Characterization of the syndrome of small and large intestinal variceal bleeding

Authors

  • Mitchell S. Cappell
    • Division of Gastroenterology of the Department of MedicineColumbia Presbyterian Medical Center
    • Department of SurgeryColumbia Presbyterian Medical Center
  • John B. Price
    • Division of Gastroenterology of the Department of MedicineColumbia Presbyterian Medical Center
    • Department of SurgeryColumbia Presbyterian Medical Center
Case Report

DOI: 10.1007/BF01296297

Cite this article as:
Cappell, M.S. & Price, J.B. Digest Dis Sci (1987) 32: 422. doi:10.1007/BF01296297

Summary

Massive bleeding from jejunal varices in a young alcoholic with cirrhosis and portal hypertension ceased following a portocaval shunt. Although rare, bleeding from small or large bowel varices has a high mortality. In 62 cases, small or large bowel varices are almost always associated with a predisposing condition including previous abdominal surgery and portal hypertension from cirrhosis or other causes. Hematochezia without hematemesis and nonbleeding esophageal varices generally occur. Angiography is the best diagnostic test.

Key Words

small intestinelarge intestinevaricesgastrointestinal bleedingportosystemic shuntportal hypertensioncirrhosis

Copyright information

© Plenum Publishing Corporation 1987