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Literature DB >> 6969068

Parastomal ileal conduit hemorrhage and portal hypertension.

F E Eckhauser, L P Sonda, W E Strodel, L P Edgcomb, J G Turcotte.

Abstract

An analysis of six cases of parastomal ileal conduit hemorrhage in patients with portal hypertension is presented. The presence of coexisting esophageal varices, documented in only one of six cases (17%), suggest preferential retrograde portal flow through mesenteric venous (as opposed to coronary-azygos) collateral channels. Venous phase mesenteric angiography offers the best diagnostic specificity and provides inferential evidence regarding overall liver blood flow. Operative therapy should be based on assessment and understanding of the splanchnic circulatory derangements which accompany intrahepatic portal obstruction.

Entities: Disease Species

Mesh：

Year: 1980 PMID： 6969068 PMCID： PMC1344942 DOI： 10.1097/00000658-198019250-00006

Source DB: PubMed Journal: Ann Surg ISSN： 0003-4932 Impact factor: 12.969

19 in total

Parastomal ileal conduit hemorrhage and portal hypertension.

1. Portasystemic venous shunts (first of two parts).

2. Haemorrhage from stomal varices in an ileal conduit.

Review 3. Common stomal problems following ideal conduit urinary diversion. Recognition and treatment.

Review 4. Emergency and elective operations for bleeding esophageal varices.

5. Acute lower gastrointestinal bleeding secondary to varices of the superior mesenteric venous system.

6. Preoperative parameters influencing survival in patients with elective portacaval shunts.

7. Portal hypertension and bleeding ileal varices after colectomy and ileostomy for chronic ulcerative colitis.

8. Splenic vein thrombosis and bleeding esophageal varices.

9. Surgical complications of ileal segment urinary diversion.

10. Ileal loop cutaneous urinary diversion: a critical review.

1. Bleeding from peristomal varices: a complication of portal hypertension.

Review 2. Characterization of the syndrome of small and large intestinal variceal bleeding.

3. Small bowel hemorrhage: angiographic localization and intervention.

Review 4. Management of parastomal varices: who re-bleeds and who does not? A systematic review of the literature.

5. Improved results with hepatic portoenterostomy: a reassessment of its value in the treatment of biliary atresia.