Literature DB >> 35535115

Bleeding Stomal Varices and Their Interventional Management- A Series of Three Cases.

Ranjan Kumar Patel1, Karamvir Chandel1, Taraprasad Tripathy1, Ashok Choudhury2, Amar Mukund1.   

Abstract

Although stomal and parastomal varices are uncommon causes of variceal bleeding, the mortality rate might be as high as 40%. Timely intervention is essential for the management of these ectopic bleeding varices. Due to the rarity of such varices, no standard treatment guideline is available. We present three cases of bleeding stomal varices managed with an endovascular approach, one through percutaneous transhepatic and the other two through transjugular intrahepatic portosystemic shunt approach.
© 2021 Indian National Association for Study of the Liver. Published by Elsevier B.V. All rights reserved.

Entities:  

Keywords:  APR, Abdominoperineal resection; BRTO, Balloon-occluded retrograde transvenous obliteration of stomal varices; CECT, Contrast-enhanced computed tomography; CTP score, Child-Turcotte-Pugh score; GI, Gastrointestinal; IMV, Inferior mesenteric vein; MELD, Model for end-stage liver disease; NASH, Nonalcoholic steatohepatitis; Na, Sodium; SMV, Superior mesenteric vein; SVB, Stomal variceal bleeding; TIPS, Transjugular intrahepatic portosystemic shunt; UGIE, Upper gastrointestinal endoscopy; USG, Ultrasonography; glue; stomal varices; transjugular intrahepatic portosystemic shunt (TIPS)

Year:  2021        PMID: 35535115      PMCID: PMC9077216          DOI: 10.1016/j.jceh.2021.09.005

Source DB:  PubMed          Journal:  J Clin Exp Hepatol        ISSN: 0973-6883


  10 in total

1.  Novel surgical control of bleeding para-stomal varices.

Authors:  Jonathon de Hoog; Tuck Leong Yong; Srini Yellapu
Journal:  ANZ J Surg       Date:  2010-06       Impact factor: 1.872

Review 2.  Ectopic varices: anatomical classification, hemodynamic classification, and hemodynamic-based management.

Authors:  Wael E A Saad; Allison Lippert; Nael E Saad; Stephen Caldwell
Journal:  Tech Vasc Interv Radiol       Date:  2013-06

Review 3.  Case Series Regarding Parastomal Variceal Bleeding: Presentation and Management.

Authors:  John Romano; Charles V Welden; Jordan Orr; Brendan McGuire; Mohamed Shoreibah
Journal:  Ann Hepatol       Date:  2019 Jan - Feb       Impact factor: 2.400

4.  Reduction in portal venous pressure by transjugular intrahepatic portosystemic shunt for treatment of hemorrhagic stomal varices.

Authors:  Amy R Deipolyi; Sanjeeva P Kalva; Rahmi Oklu; T Gregory Walker; Stephan Wicky; Suvranu Ganguli
Journal:  AJR Am J Roentgenol       Date:  2014-09       Impact factor: 3.959

5.  Treatment of bleeding stomal varices by balloon-occluded retrograde transvenous obliteration.

Authors:  Shigeki Minami; Kazuya Okada; Mitsutoshi Matsuo; Yukio Kamohara; Ichiro Sakamoto; Takashi Kanematsu
Journal:  J Gastroenterol       Date:  2007-02-16       Impact factor: 7.527

6.  Bleeding ectopic varices in cirrhosis: the role of transjugular intrahepatic portosystemic stent shunts.

Authors:  N Kochar; D Tripathi; N C McAvoy; H Ireland; D N Redhead; P C Hayes
Journal:  Aliment Pharmacol Ther       Date:  2008-08-01       Impact factor: 8.171

7.  Direct percutaneous approach for endoluminal glue embolization of stomal varices.

Authors:  Francine Thouveny; Christophe Aubé; Anselme Konaté; Jérôme Lebigot; Antoine Bouvier; Frédéric Oberti
Journal:  J Vasc Interv Radiol       Date:  2008-03-17       Impact factor: 3.464

8.  Bleeding ectopic varices--treatment with transjugular intrahepatic porto-systemic shunt (TIPS) and embolisation.

Authors:  Marcello Vangeli; David Patch; Natalia Terreni; John Tibballs; Anthony Watkinson; Neil Davies; Andrew Kenneth Burroughs
Journal:  J Hepatol       Date:  2004-10       Impact factor: 25.083

9.  Ileal conduit stomal variceal bleeding managed by endovascular embolization.

Authors:  Deng-Hua Yao; Xue-Feng Luo; Biao Zhou; Xiao Li
Journal:  World J Gastroenterol       Date:  2013-11-28       Impact factor: 5.742

Review 10.  Bleeding stomal varices: case series and systematic review of the literature.

Authors:  Bret J Spier; Abdullah A Fayyad; Michael R Lucey; Eric A Johnson; Myron Wojtowycz; Layton Rikkers; Bruce A Harms; Mark Reichelderfer
Journal:  Clin Gastroenterol Hepatol       Date:  2008-03       Impact factor: 11.382

  10 in total

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