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Recurrent stomal variceal bleeding

Successful treatment using injection sclerotherapy

  • Published:
Diseases of the Colon & Rectum

Abstract

Stomal varices may develop in patients with gastrointestinal stomas and portal hypertension. Bleeding often is recurrent and may be fatal. A 48-year-old woman had six major stomal variceal bleeds requiring 20 U of blood in the four months before beginning stomal sclerotherapy. “Paravariceal” injections using various combinations of sodium tetradecyl sulfate, ethanol, and saline resulted in a decrease in blood transfusions to 3 u during a 20-month follow-up. Injection sclerotherapy deserves consideration in patients with recurrent stomal variceal bleeding.

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References

  1. Lebrec D, Benhamou JP. Ectopic varices in portal hypertension. Clin Gastroenterol 1985;14:105–21.

    PubMed  CAS  Google Scholar 

  2. Hollands MJ. Parastomal haemorrhage from an ileal conduit secondary to portal hypertension. Br J Surg 1982;69:675.

    PubMed  CAS  Google Scholar 

  3. Johnson AG, Simms JM. Letter to the editor. Br J Surg 1983;70:187.

    PubMed  CAS  Google Scholar 

  4. Resnick RH, Ishihara A, Chalmers TC, Schimmel EM. The Boston Inter-Hospital Liver Group. A controlled trial of colon bypass in chronic hepatic encephalopathy. Gastroenterology 1968;54:1057–69.

    PubMed  CAS  Google Scholar 

  5. Ackerman NB, Graeber GM, Fey J. Enterostomal varices secondary to portal hypertension: progression of disease in conservatively managed cases. Arch Surg 1980;115:1454–5.

    PubMed  CAS  Google Scholar 

  6. Graeber GM, Ratner MH, Ackerman NB. Massive hemorrhage from ileostomy and colostomy stomas due to mucocutaneous varices in patients with coexisting cirrhosis. Surgery 1976;79:107–10.

    PubMed  CAS  Google Scholar 

  7. Crooks KK, Hensle TW, Heney NM, Waltman A, Irwin RJ Jr. Ileal conduit hemorrhage secondary to portal hypertension. Urology 1978;12:689–93.

    Article  PubMed  CAS  Google Scholar 

  8. Adson MA, Fulton RE. The ileal stoma and portal hypertension. Arch Surg 1977;112:501–4.

    PubMed  CAS  Google Scholar 

  9. Cameron AD, Fone DJ. Portal hypertension and bleeding ileal varices after colectomy and ileostomy for chronic ulcerative colitis. Gut 1970;11:755–9.

    PubMed  CAS  Google Scholar 

  10. Paquet KJ. Endoscopic paravariceal injection sclerotherapy of the esophagus—indications, technique, complications: results of a period of 14 years. Gastrointest Endosc 1983;29:310–5.

    Article  PubMed  CAS  Google Scholar 

  11. MacDougall BR, Westaby D, Theodossi A, Dawson JL, Williams R. Increased long-term survival in variceal haemorrhage using injection sclerotherapy. Lancet 1982;1:124–7.

    Article  PubMed  CAS  Google Scholar 

  12. Silpa ML, Jensen DM, Machicado GA, Tapia JI, Beilin DB. Efficacy and safety of agents for variceal sclerotherapy. Gastrointest Endosc 1982;28:152–3.

    Google Scholar 

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Authors and Affiliations

  1. Department of Internal Medicine, Gastroenterology Section, University of Arizona Health Sciences Center, Tucson, Arizona

    Timothy R. Morgan M.D., S. David Feldshon M.D. & Michael R. Tripp M.D.

Authors
  1. Timothy R. Morgan M.D.
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  2. S. David Feldshon M.D.
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  3. Michael R. Tripp M.D.
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Morgan, T.R., David Feldshon, S. & Tripp, M.R. Recurrent stomal variceal bleeding. Dis Colon Rectum 29, 269–270 (1986). https://doi.org/10.1007/BF02553036

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  • DOI: https://doi.org/10.1007/BF02553036

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