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Parastomal Varices with Recurrent Bleeding in the Absence of Liver Cirrhosis
Joint Authors
Kopel, Jonathan
Baucom, Rebeccah
Campbell, Samuel
Brower, Gregory L.
Source
Case Reports in Gastrointestinal Medicine
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-09-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Gastrointestinal (GI) bleeding is a common problem in patients with portal hypertension.
One of the most common causes of GI bleeding are varices (e.g., esophageal varices).
In some instances, varices can develop between an intestinal stoma and the abdominal wall vasculature, known as parastomal varices.
Specifically, parastomal varices are common in patients with a preexisting stoma and concurrent chronic portal hypertension.
These patients often present with recurrent bleeding and may require regular transfusions.
Herein, we report on a patient with parastomal varices and portal hypertension without hepatic cirrhosis.
Given the high morbidity and mortality associated with surgical interventions, most clinical guidelines encourage observation and medical management of bleeding from parastomal varices.
Among the nonsurgical interventions, manual compression and local maneuvers often successfully stop the bleeding.
However, subsequent rebleeding from parastomal varices can remain a problem requiring additional treatment.
Further research is needed to investigate appropriate medical or surgical alternatives for managing parastomal varices bleeding.
American Psychological Association (APA)
Kopel, Jonathan& Baucom, Rebeccah& Campbell, Samuel& Brower, Gregory L.. 2020. Parastomal Varices with Recurrent Bleeding in the Absence of Liver Cirrhosis. Case Reports in Gastrointestinal Medicine،Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147360
Modern Language Association (MLA)
Kopel, Jonathan…[et al.]. Parastomal Varices with Recurrent Bleeding in the Absence of Liver Cirrhosis. Case Reports in Gastrointestinal Medicine No. 2020 (2020), pp.1-4.
https://search.emarefa.net/detail/BIM-1147360
American Medical Association (AMA)
Kopel, Jonathan& Baucom, Rebeccah& Campbell, Samuel& Brower, Gregory L.. Parastomal Varices with Recurrent Bleeding in the Absence of Liver Cirrhosis. Case Reports in Gastrointestinal Medicine. 2020. Vol. 2020, no. 2020, pp.1-4.
https://search.emarefa.net/detail/BIM-1147360
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1147360