A Case of Lower GI Bleeding from Portal Hypertensive Colopathy Successfully Treated with Octreotide Administration and Endoscopic Hemoclipping.
- Author:
Ji Song KO
1
;
Ju Sang KIM
;
Chee Ho NOH
;
Do Young KIM
;
Jong Hyun PARK
;
Young Seok CHO
;
Sung Soo KIM
;
Hiun Suk CHAE
;
Byung Min AHN
;
Chang Don LEE
;
Kyu Yong CHOI
;
In Sik CHUNG
;
Hee Sik SUN
Author Information
1. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea. cmclcd@cmc.cuk.ac.kr
- Publication Type:Case Report
- Keywords:
Portal hypertensive colopathy;
Liver cirrhosis;
Octreotide;
Hemoclip
- MeSH:
Abdominal Pain;
Adult;
Colon;
Colonoscopy;
Fever;
Gastrointestinal Hemorrhage;
Hemorrhage*;
Hemostasis, Endoscopic;
Humans;
Hypertension, Portal;
Liver Cirrhosis;
Male;
Mucous Membrane;
Octreotide*
- From:Korean Journal of Gastrointestinal Endoscopy
2004;28(2):97-101
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Cirrhotic patients with portal hypertension are often found to have changes in their colonic mucosa. Such mucosal changes are termed portal hypertensive colopathy. Most patients with portal hypertension remained asymptomatic but some may show massive bleeding. The mainstay of treatment for portal hypertensive gastropathy include non-surgical methods such as octreotide injection, endoscopic hemostasis, and interventional methods such as TIPS. However, treatment for portal hypertensive colopathy remained unresolved. The authors here report a case of a 41 year old male with liver cirrhosis admitted for fever and abdominal pain, who reported an episode of hematochezia in the course of admisssion period. Subsequent colonoscopy revealed angiodysplasia-like lesions throughout the entire colon. We observed that such lesions were the source of hematochezia and that direct clipping with octreotide injection was successful in controlling the bleeding.
