Year 2015 / Volume 107 / Number 9
Letter to the Editor
STOMAL VARICES: AN UNUSUAL CAUSE OF BLEEDING IN PATIENTS WITH PORTAL HYPERTENSION

579-580

DOI: 10.17235/reed.2015.3707/2015

Cristina Trasancos Escura,

Abstract
Stomal varices are an unusual cause of bleeding in patients with liver disease and portal hypertension that can lead to fatal outcome. Therefore, early diagnosis and treatment are necessary. There are different therapeutic options, although the most recommended one is the performance of a Transjugular Intrahepatic Portosystemic Shunt (TIPS) procedure to lower portal pressure. We describe a case report of a patient with liver cirrhosis and recurrent bleeding episodes due to ectopic varices associated with ureteroileostomy, who did not respond to conservative treatment and finally required a TIPS procedure.
Share Button
New comment
Comments
No comments for this article
References
1. Sato T, Akaike J, Toyota J, et al. Clinicopathological features and treatment of ectopic varices with portal hypertension. Int J Hepatol 2011;2011:1-9.
2. Helmy A, Al Kahtani K, Al Fadda M. Updates in the pathogenesis, diagnosis and management of ectopic varices. Hepatol Int 2008;2:322-34.
3. Bosch J, Abraldes JG, Albillos A, et al. Hipertensión portal: recomendaciones para su evaluación y tratamiento: documento de consenso auspiciado por la AEEH y el CIBERehd. Gastroenterol Hepatol 2012;35:421-50.
4. Khan F, Vessal S, Gordon-Williams R. Bleeding from peristomal varices: A complication of portal hypertension. BMJ Case Rep 2011;2011:1-5.
5. Ortiz Morales CM, Arraiza Sarasa M, Benito Boillos A, et al. Embolización directa de varices estomales en la hipertensión portal tras el tratamiento de metástasis hepáticas. Radiologia 2010;52:556-9.
6. Dal Moro F. Long-delayed gross hematuria due to portal hypertension in an alcoholic cirrhotic patient with ileal conduit urinary diversion. Ann Hepatol 2014;13:830-1.
7. Saad WE, Lippert A, Saad NE, et al. Ectopic varices: Anatomical classification, hemodynamic classification, and hemodynamic-based management. Tech Vasc Interv Radiol 2013;16:158-75.
8. Deipolyi AR, Kalva SP, Oklu R, et al. Reduction in portal venous pressure by transjugular intrahepatic portosystemic shunt for treatment of hemorrhagic stomal varices. AJR Am J Roentgenol 2014;203:668-73.
9. Garcia-Tsao G, Sanyal AJ, Grace ND, et al. Prevention and management of gastroesophageal varices and variceal hemorrhage in cirrhosis. Hepatology 2007;46:922-38.
10. Boyer TD, Haskal ZJ. The role of transjugular intrahepatic portosystemic shunt (TIPS) in the management of portal hypertension: Update 2009. Hepatology 2010;51:1-16.
Related articles

Editorial

Treatment of portal vein thrombosis in cirrhosis patients

DOI: 10.17235/reed.2023.9800/2023

Letter

Esophageal stent placement for endoscopic treatment failure

DOI: 10.17235/reed.2023.9517/2023

Digestive Diseases Image

Colonic Kaposi’s sarcoma as the first clinical manifestation of undiagnosed HIV

DOI: 10.17235/reed.2022.8717/2022

Letter

A rare gastrointestinal tumor: primary gastric melanoma

DOI: 10.17235/reed.2022.8715/2022

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Letter

Gastric ulcer due to mucormycosis in a critical patient

DOI: 10.17235/reed.2020.6636/2019

Letter

Stomal varices: an unusual cause of bleeding in liver cirrhosis

DOI: 10.17235/reed.2020.6470/2019

Letter to the Editor

Inverted Meckel’s diverticulum in an adult patient diagnosed via capsule endoscopy

DOI: 10.17235/reed.2018.5347/2017

Case Report

Appendicular bleeding: an excepcional cause of lower hemorrhage

DOI: 10.17235/reed.2015.3828/2015

Case Report

Downhill varices: an uncommon cause of upper gastrointestinal bleeding

DOI: 10.17235/reed.2015.3697/2015

Citation tools
Trasancos Escura C. STOMAL VARICES: AN UNUSUAL CAUSE OF BLEEDING IN PATIENTS WITH PORTAL HYPERTENSION. 3707/2015


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 224 visits.
This article has been downloaded 42 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 27/01/2015

Accepted: 30/01/2015

Online First: 14/07/2015

Published: 29/08/2015

Article revision time: 1 days

Article Online First time: 168 days

Article editing time: 214 days


Share
This article has been rated by 1 readers.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology