Hemorrhage from ileal varices

A delayed complication after total proctocolectomy in a patient with ulcerative colitis and cirrhosis

M. B. Goldstein, Lawrence J. Brandt, L. H. Bernstein, S. Sprayragen

Research output: Contribution to journalArticle

19 Citations (Scopus)

Abstract

A 60-year-old woman presented with recurrent ileostomal 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 portasystemic 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
JournalAmerican Journal of Gastroenterology
Volume78
Issue number6
StatePublished - 1983

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Varicose Veins
Ulcerative Colitis
Surgical Portasystemic Shunt
Fibrosis
Hemorrhage
Portal Hypertension
Angiography
Therapeutics

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Hemorrhage from ileal varices : A delayed complication after total proctocolectomy in a patient with ulcerative colitis and cirrhosis. / Goldstein, M. B.; Brandt, Lawrence J.; Bernstein, L. H.; Sprayragen, S.

In: American Journal of Gastroenterology, Vol. 78, No. 6, 1983, p. 351-354.

Research output: Contribution to journalArticle

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