Treating Untreatable Rectal Varices
Background: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies bei...
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2019-02-01
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Series: | GE: Portuguese Journal of Gastroenterology |
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doaj-54afff48b11342be9f75b7f0542941c72020-11-25T03:43:01ZengKarger PublishersGE: Portuguese Journal of Gastroenterology2341-45452387-19542019-02-011510.1159/000496121496121Treating Untreatable Rectal VaricesMónica GarridoBelarmino GonçalvesSofia FerreiraMarta RochaMarta SalgadoIsabel PedrotoBackground: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies being widely used, and both interventional radiology and surgery being considered for refractory bleeding rectal varices. Case: We report the case of a 61-year-old male with hepatic cirrhosis and bleeding rectal varices refractory to endoscopic therapy, successfully managed with a combination of transjugular intrahepatic portosystemic shunt (TIPS) and selective variceal embolization. Conclusions: Radiological techniques are effective options for refractory bleeding. Adding embolization to TIPS implantation could represent a valid adjunctive measure for haemostasis of recurrent rectal variceal bleeding.https://www.karger.com/Article/FullText/496121Liver cirrhosisRectal varicesTransjugular intrahepatic portosystemic shuntTherapeutic embolization |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto |
spellingShingle |
Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto Treating Untreatable Rectal Varices GE: Portuguese Journal of Gastroenterology Liver cirrhosis Rectal varices Transjugular intrahepatic portosystemic shunt Therapeutic embolization |
author_facet |
Mónica Garrido Belarmino Gonçalves Sofia Ferreira Marta Rocha Marta Salgado Isabel Pedroto |
author_sort |
Mónica Garrido |
title |
Treating Untreatable Rectal Varices |
title_short |
Treating Untreatable Rectal Varices |
title_full |
Treating Untreatable Rectal Varices |
title_fullStr |
Treating Untreatable Rectal Varices |
title_full_unstemmed |
Treating Untreatable Rectal Varices |
title_sort |
treating untreatable rectal varices |
publisher |
Karger Publishers |
series |
GE: Portuguese Journal of Gastroenterology |
issn |
2341-4545 2387-1954 |
publishDate |
2019-02-01 |
description |
Background: Rectal varices are portosystemic collaterals that arise as a complication of portal hypertension. Despite their significant prevalence among cirrhotic patients, clinically important bleeding occurs only in a minority. Various treatment options are available, with endoscopic therapies being widely used, and both interventional radiology and surgery being considered for refractory bleeding rectal varices. Case: We report the case of a 61-year-old male with hepatic cirrhosis and bleeding rectal varices refractory to endoscopic therapy, successfully managed with a combination of transjugular intrahepatic portosystemic shunt (TIPS) and selective variceal embolization. Conclusions: Radiological techniques are effective options for refractory bleeding. Adding embolization to TIPS implantation could represent a valid adjunctive measure for haemostasis of recurrent rectal variceal bleeding. |
topic |
Liver cirrhosis Rectal varices Transjugular intrahepatic portosystemic shunt Therapeutic embolization |
url |
https://www.karger.com/Article/FullText/496121 |
work_keys_str_mv |
AT monicagarrido treatinguntreatablerectalvarices AT belarminogoncalves treatinguntreatablerectalvarices AT sofiaferreira treatinguntreatablerectalvarices AT martarocha treatinguntreatablerectalvarices AT martasalgado treatinguntreatablerectalvarices AT isabelpedroto treatinguntreatablerectalvarices |
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1724521820683501568 |