Successful Treatment of Stomal Variceal Bleeding with Percutaneous Injection Sclerotherapy
نویسندگان
چکیده
Bleeding from ectopic varices is often massive and fatal with portal hypertension, and stomal varices can occur in patients with stoma. We aimed to treat a hepatitis B surface antigen positive 69 year-old male with liver cirrhosis associated hepatocellular carcinoma with bleeding stomal varices using percutaneous injection sclerotherapy. Percutaneous injection sclerotherapy was performed under fluoroscopy using 5% ethanolamine oleate with iopamidol (EOI) with a 25 gauge disposable injection needle; 5ml of 5% EOI were injected gradually. Injection sclerotherapy controlled acute bleeding in this patient without serious complication. The patient experienced no further episodes of bleeding during the 8 months following treatment with percutaneous injection sclerotherapy. In conclusion, percutaneous injection sclerotherapy remains an option for the treatment of patients with bleeding stomal varices.
منابع مشابه
Recent Trend of Variceal Bleeding in Patients with Portal Hypertension and its Treatments Including Ectopic Varices
Aims: We investigated recent trend of variceal bleeding in patients with portal hypertension and its treatments including ectopic varices. Methods: One hundred forty-four patients with variceal bleeding events and portal hypertension were evaluated retrospectively from December 2012 to June 2016. Results: Sites of 144 variceal bleeding were as follows; esophageal varices in 67, cardiac varices ...
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