Hemorrhage from Ileal Varices: A Delayed Complication after Total Proctocolectomy in a Patient with Ulcerative Colitis and Cirrhosis

Michael B. Goldstein, Lawrence J. Brandt, Leslie H. Bernstein, Seymour Sprayragen

Research output: Contribution to journalArticle

19 Scopus citations


A 60‐year‐old woman presented with recurrent ileo‐stomal hemorrhage 29 years after proctocolectomy for ulcerative colitis. Ileal varices were demonstrated by selective mesenteric angiography, and a portasystemic shunt was performed with control of the bleeding. Stomal varices typically present with repeated episodes of bleeding at and proximal to the mucocutaneous junction of the ileal stoma and attempts at local corrective measures generally meet with only temporary success. A portosystemic shunt to diminish portal hypertension in this situation is currently the most widely accepted therapy for this entity.

Original languageEnglish (US)
Pages (from-to)351-354
Number of pages4
JournalThe American Journal of Gastroenterology
Issue number6
StatePublished - Jun 1983


ASJC Scopus subject areas

  • Hepatology
  • Gastroenterology

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