Transcatheter embolization for stomal varices: A report of three patients

Stomal varices are rare and ectopic varices defined as dilated portosystemic collateral veins located in sites other than the gastro-esophageal region. These sometimes cause recurrent bleedings and can be life-threatening. Optimal treatments have yet to be established. We report 3 cases of repetitiv...

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Detalles Bibliográficos
Autores principales: Ozaki, Masanori, Jogo, Atsushi, Yamamoto, Akira, Kaminou, Toshio, Hamuro, Masao, Sohgawa, Etsuji, Kageyama, Ken, Ogawa, Satoyuki, Murai, Kazuki, Nota, Takehito, Yonezawa, Hiroki, Miki, Yukio
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7846897/
https://www.ncbi.nlm.nih.gov/pubmed/33552329
http://dx.doi.org/10.1016/j.radcr.2021.01.020
Descripción
Sumario:Stomal varices are rare and ectopic varices defined as dilated portosystemic collateral veins located in sites other than the gastro-esophageal region. These sometimes cause recurrent bleedings and can be life-threatening. Optimal treatments have yet to be established. We report 3 cases of repetitive bleeding stomal varices in which resolution of bleeding was obtained over the medium term with minimally invasive approaches including balloon-occluded retrograde transvenous obliteration and variceal embolization by ultrasound-guided direct puncture. Rebleeding did not occur in any patients within 2-15 months of follow-up. Serious complications over Clavien-Dindo grade I were not found.

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