Variceal Bleeding From an Ileostomy Stoma

Wang, M M; McGrew, W; Dunn, G. Dewey

doi:10.1097/00007611-198506000-00029

Cited by 13 publications

(4 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Parastomal VB tends to be recurrent despite local therapy [12,13,14,15,16,17,18,19,20,21,22,23,24,25,26]. In our case series, all patients experienced recurrent VB episodes despite therapeutic interventions, such as medical, local, and/or surgical therapy.…”

Section: Discussionmentioning

confidence: 72%

“…2) [12,13,14,15]. These so-called parastomal varices can cause recurrent VB [12,13,14,15,16,17,18,19,20,21,22,23,24,25,26,27,28,29,30]. Accordingly, parastomal VB are both a life-threatening condition to their carrier and a challenge for healthcare systems as they can lead to repeated hospital admissions, blood transfusions, and multiple endoscopic procedures implying the need for anesthesia with all associated potential complications.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

TIPS for the management of stomal variceal bleeding due to cirrhotic and non-cirrhotic portal hypertension

et al. 2021

View full text Add to dashboard Cite

Background Portal hypertension (PH) is associated with the development of esophageal or gastric varices, which can cause bleedings with high mortality. Varices can also manifest at sites of stomata. These parastomal varices can cause recurrent variceal bleedings (VB) despite local therapies. We present a case series of parastomal VB due to PH that were managed with implantation of transjugular intrahepatic portosystemic shunt (TIPS). Methods We retrospectively included all patients (pt) from 2 tertiary medical centers with parastomal VB between January 2014 and February 2020 who underwent the TIPS procedure. Results Nine pt were included. Seven pt had liver cirrhosis, mostly alcohol-related. Two pt had non-cirrhotic PH due to porto-sinusoidal vascular disease (PSD). Four pt had a colostomy, 1 an ileostomy, and 4 an ileal conduit. Malignancy was the leading cause of stoma surgery. All 9 pt suffered from recurrent parastomal VB despite non-selective beta-blocker and/or local therapy (e.g., compression, coagulation, suture ligation, or surgical stoma revision). All pt received TIPS implantation. In 7 pt, TIPS implantation led to sustainable hemostasis. Two pt suffered a bleeding relapse that was attributable to TIPS dysfunction. TIPS revision with coil embolization of the varices terminated the VB sustainably in both pt. Conclusions In pt presenting with recurrent stomal bleedings, parastomal varices as a rare complication of PH must be taken into consideration as an underlying cause. In our case series, we managed to sustainably cease parastomal VB by TIPS implantation with or without coil embolization of the ectopic varices.

show abstract

Section: Discussionmentioning

confidence: 72%

Section: Introductionmentioning

confidence: 99%

TIPS for the management of stomal variceal bleeding due to cirrhotic and non-cirrhotic portal hypertension

et al. 2021

View full text Add to dashboard Cite

show abstract

“…Bleeding of parastomal varices can be seen in portal hypertension patients with colostomy or ileostomy (1)(2)(3). Bleeding of these varices is a life-threatening problem for these patients.…”

Section: Introductionmentioning

confidence: 99%

“…No definite treatment strategy for bleeding of parastomal varices has been proposed. Treatment options for bleeding of parastomal varices are compressed dressings, suture ligation, sclerotherapy, angiographic embolization, revision of the stoma, and surgical operations that reduce the portal hypertension (1,(3)(4)(5).…”

Section: Introductionmentioning

confidence: 99%

Recurrent bleeding of parastomal varices: Case report

Karataş

Küçük²,

Aytaç³

et al. 2011

Turk J Gastroenterol

View full text Add to dashboard Cite

show abstract

Characterization of the syndrome of small and large intestinal variceal bleeding

Cappell

Price

1987

Digest Dis Sci

View full text Add to dashboard Cite

Massive bleeding from jejunal varices in a young alcoholic with cirrhosis and portal hypertension ceased following a portocaval shunt. Although rare, bleeding from small or large bowel varices has a high mortality. In 62 cases, small or large bowel varices are almost always associated with a predisposing condition including previous abdominal surgery and portal hypertension from cirrhosis or other causes. Hematochezia without hematemesis and nonbleeding esophageal varices generally occur. Angiography is the best diagnostic test.

show abstract

Variceal Bleeding From an Ileostomy Stoma

Cited by 13 publications

References 0 publications

TIPS for the management of stomal variceal bleeding due to cirrhotic and non-cirrhotic portal hypertension

TIPS for the management of stomal variceal bleeding due to cirrhotic and non-cirrhotic portal hypertension

Recurrent bleeding of parastomal varices: Case report

Characterization of the syndrome of small and large intestinal variceal bleeding

Contact Info

Product

Resources

About