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Title: Direct Percutaneous Embolization of Bleeding Stomal Varices

Abstract

Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for TIPS creation because they have end-stage liver disease or encephalopathy. We describe such a patient who presented with recurrent bleeding stomal varices, which was successfully treated with percutaneous coil embolization. The patient had bleeding-free survival for 1 month before death from unrelated causes.

Authors:
 [1];  [2]; ;  [1]
  1. Mayo Clinic Arizona, Mayo Clinic Hospital, Department of Radiology, Division of Interventional Radiology (United States)
  2. Mayo Clinic Arizona, Mayo Clinic Hospital, Department of Urology (United States)
Publication Date:
OSTI Identifier:
21429084
Resource Type:
Journal Article
Journal Name:
Cardiovascular and Interventional Radiology
Additional Journal Information:
Journal Volume: 33; Journal Issue: 1; Conference: BSIR (British Society of Interventional Radiology) 2009 annual meeting, Brighton (United Kingdom), 4-6 Nov 2009; Other Information: DOI: 10.1007/s00270-009-9536-4; Copyright (c) 2010 Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE); Article Copyright (c) 2009 Springer Science+Business Media, LLC; Journal ID: ISSN 0174-1551
Country of Publication:
United States
Language:
English
Subject:
62 RADIOLOGY AND NUCLEAR MEDICINE; EMBOLI; HYPERTENSION; LIVER; BODY; CARDIOVASCULAR DISEASES; DIGESTIVE SYSTEM; DISEASES; GLANDS; ORGANS; SYMPTOMS; VASCULAR DISEASES

Citation Formats

Naidu, Sailen G., E-mail: naidu.sailen@mayo.ed, Castle, Erik P., Kriegshauser, J. Scott, and Huettl, Eric A. Direct Percutaneous Embolization of Bleeding Stomal Varices. United States: N. p., 2010. Web. doi:10.1007/S00270-009-9536-4.
Naidu, Sailen G., E-mail: naidu.sailen@mayo.ed, Castle, Erik P., Kriegshauser, J. Scott, & Huettl, Eric A. Direct Percutaneous Embolization of Bleeding Stomal Varices. United States. doi:10.1007/S00270-009-9536-4.
Naidu, Sailen G., E-mail: naidu.sailen@mayo.ed, Castle, Erik P., Kriegshauser, J. Scott, and Huettl, Eric A. Mon . "Direct Percutaneous Embolization of Bleeding Stomal Varices". United States. doi:10.1007/S00270-009-9536-4.
@article{osti_21429084,
title = {Direct Percutaneous Embolization of Bleeding Stomal Varices},
author = {Naidu, Sailen G., E-mail: naidu.sailen@mayo.ed and Castle, Erik P. and Kriegshauser, J. Scott and Huettl, Eric A.},
abstractNote = {Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for TIPS creation because they have end-stage liver disease or encephalopathy. We describe such a patient who presented with recurrent bleeding stomal varices, which was successfully treated with percutaneous coil embolization. The patient had bleeding-free survival for 1 month before death from unrelated causes.},
doi = {10.1007/S00270-009-9536-4},
journal = {Cardiovascular and Interventional Radiology},
issn = {0174-1551},
number = 1,
volume = 33,
place = {United States},
year = {2010},
month = {2}
}