A Case of Successful Treatment of Stomal Variceal Bleeding with Transjugular Intrahepatic Portosystemic Shunt and Coil Embolization.
10.3346/jkms.2007.22.3.583
- Author:
Seo Goo HAN
1
;
Ki Jun HAN
;
Hyeon Geun CHO
;
Chang Woo GHAM
;
Chang Hwan CHOI
;
Sang Yon HWANG
;
Soon Young SONG
Author Information
1. Department of Internal Medicine, Kwandong University College of Medicine, Hwajeong-dong, Deokyang-gu, Goyang, Korea. chg21@kwandong.ac.kr
- Publication Type:Case Report
- Keywords:
Varices;
Stoma;
Bleeding;
Transjugular Intrahepatic Portosystemic Shunt (TIPS);
Embolization
- MeSH:
Colectomy/adverse effects;
Contrast Media/pharmacology;
Embolization, Therapeutic/*methods;
Esophageal and Gastric Varices/surgery;
Gastrointestinal Hemorrhage/*therapy;
Humans;
Male;
Middle Aged;
*Portasystemic Shunt, Transjugular Intrahepatic;
Rectal Neoplasms/surgery;
Tomography, X-Ray Computed/methods;
Treatment Outcome
- From:Journal of Korean Medical Science
2007;22(3):583-587
- CountryRepublic of Korea
- Language:English
-
Abstract:
Variceal bleeding from enterostomy site is an unusual complication of portal hypertension. The bleeding, however, is often recurrent and may be fatal. The hemorrhage can be managed with local measures in most patients, but when these fail, surgical interventions or portosystemic shunt may be required. Herein, we report a case in which recurrent bleeding from stomal varices, developed after a colectomy for rectal cancer, was successfully treated by placement of transjugular intrahepatic portosystemic shunt (TIPS) with coil embolization. Although several treatment options are available for this entity, we consider that TIPS with coil embolization offers minimally invasive and definitive treatment.
