Journal
CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
Volume 33, Issue 1, Pages 201-204Publisher
SPRINGER
DOI: 10.1007/s00270-009-9536-4
Keywords
Stomal varices; Portal hypertension; Percutaneous therapy; TIPS
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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.
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