Recurrent stomal variceal bleeding. Successful treatment using injection sclerotherapy.

Stomal varices may develop in patients with gastrointestinal stomas and portal hypertension. Bleeding often is recurrent and may be fetal. 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.