Stomal varices: A rare cause of stomal hemorrhage. A report of three cases

Ostomy Wound Management

Volumn 53, Issue 8, 2007, Pages 20-28

  Kabeer, Muhammad A ^b   Jackson, Lucina ^b   Widdison, Adam L ^b   Maskell, Giles ^b   Mathew, Joseph ^a  

^a ROYAL CORNWALL HOSPITAL   (United Kingdom)

^b NONE

Author keywords

Case study; Gastrointestinal hemorrhage; Portal hypertension; Portosystemic shunts; Stomas

Indexed keywords

SILVER NITRATE;

AGED; ARTICLE; BLEEDING; CASE REPORT; CLASSIFICATION; COLOSTOMY; EPIDEMIOLOGY; FATALITY; FEMALE; HOSPITALIZATION; HUMAN; ILEOSTOMY; LIGATION; LIVER DISEASE; MALE; MIDDLE AGED; PORTAL HYPERTENSION; PORTOSYSTEMIC ANASTOMOSIS; PROCTOCOLECTOMY; RARE DISEASE; RECURRENT DISEASE; REOPERATION; SCLEROTHERAPY; VARICOSIS;

AGED; CAUSALITY; COLOSTOMY; FATAL OUTCOME; FEMALE; HEMORRHAGE; HUMANS; HYPERTENSION, PORTAL; ILEOSTOMY; LIGATION; LIVER DISEASES; MALE; MIDDLE AGED; PORTASYSTEMIC SHUNT, TRANSJUGULAR INTRAHEPATIC; PROCTOCOLECTOMY, RESTORATIVE; RARE DISEASES; RECURRENCE; REOPERATION; SCLEROTHERAPY; SEVERITY OF ILLNESS INDEX; SILVER NITRATE; VARICOSE VEINS;

EID: 34548248564     PISSN: 08895899     EISSN: None     Source Type: Journal    
DOI: None     Document Type: Article

References (38)

1. Beck DE, Fazio VW, Grundfest-Broniatowski S. Surgical management of bleeding stomal varices. Dis Colon Rectum. 1988; 31(5):343-346.
2. Thompson J. Caput medusae: peristomal varices. J ET Nurs. 1993; 20(5):216-219.
3. Mosquera DA, Walker SJ, McFarland JB. Bleeding stomal varices treated by sclerotherapy. J R Coll Surg Edinb. 1988; 33 (6) : 337.
4. Graeber GM, Ratner MH, Ackerman NB. Massive hemorrhage from ileostomy and colostomy stomas due to mucocutaneous varices in patients with coexisting cirrhosis. Surgery. 1976; 79(1) : 107-110.
5. Ryu RK, Nem cek AA, Jr., Chrisman HB, et al. Treatment of stomal variceal hemorrhage with TIPS: case report and review of the literature. Cardiovasc Intervent Radiol. 2000;23(4):301-303.
6. Grundfest-Broniatowski S, Fazio V. Conservative treatment of bleeding stomal varices. Arch Surg. 1983; 118(8) : 981-985.
7. Fucini C, Wolff BG, Dozois RR. Bleeding from peristomal varices: perspectives on prevention and treatment. Dis Colon Rectum. 1991;34 (12): 1073-1078.
8. Vangeli M, Patch D, Terreni N, et al. Bleeding ectopic varices-treatment with transjugular intrahepatic portosystemic shunt (TIPS) and embolisation. J Hepatol. 2004;41(4):560-566.
9. Kakizaki S, Ishikawa T, Koyama Y, et al. Primary biliary cirrhosis complicated with sigmoid colonic varices: the usefulness of computed tomographic angiography. Abdom Imaging. 2003;28 (6):831-834.
10. Vidal V, Joly L, Perreau It P, Bouchard L, Lafortune M, PomierLayrargues G. Usefulness of transjugular intrahepatic portosystemic shunt in the management of bleeding ectopic varices in cirrhotic patients. Cardiovasc Intervent Radiol. 2006;29(2):216-219.
11. Thomas DJ, Abercrombie GF. Peri-stomal varices: an unusual cause of bleeding from an ileal conduit. Br J Urol. 1993;71 (3):355-356.
12. Lashley DB, Saxon RR, Fuchs EF, Chin DH, Lowe BA. Bleeding ileal conduit stomal varices: diagnosis and management using transjugular transhepatic angiography and embolization. Urology. 1997;50 (4):612-614.
13. Lo RK, Johnson DE, Smith DB. Massive bleeding from an ileal conduit caput medusae. J Urol. 1984; 131 (1) : 114-115.
14. Foulkes J, Wallace DM. Haemorrhage from stomal varices in an ileal conduit. Br J Urol. 1975;47(6):630.
15. Johnson PA, Laurin J. Transjugular portosystemic shunt for treatment of bleeding stomal varices. Dig Dis Sci. 1997;42(2):440-442.
16. Kishimoto K, Hara A, Arita T, et al. Stomal varices: treatment by percutaneous transhepatic coil embolization. Cardiovasc Intervent Radiol. 1999;22 (6):523-525.
17. Chalmers TC. Bleeding abdominal stomal varices. Lancet. 1970; 1 (7637):86.
18. Handschin AE, Weber M, Weishaupt D, Fried M, Clavien PA. Contrast-enhanced three-dimensional magnetic resonance angiography for visualization of ectopic varices. Dis Colon Rectum. 2002;45(11 ): 1541-1544.
19. Abraldes JG, Dell'Era A, Bosch J. Medical management of variceal bleeding in patients with cirrhosis. Can J Gastroenterol. 2004;18(2):109-113.
20. Roberts PL, Martin FM, Schoetz DJ, Jr., Murray JJ, Coller JA, Veidenheimer MC. Bleeding stomal varices. The role of local treatment. Dis Colon Rectum. 1990;33(7):547-549.
21. Cuschieri A. Disorders of the liver. In: Essential Surgical Practice, Vol 2, 4th ed. London, UK: Arnold Publishers;2002.
22. Davidson BR. Liver. In: Short Practice of Surgery, 23rd ed. London, UK: Arnold Publishers;2000.
23. Adson MA, Fulton RE. The ileal stoma and portal hypertension: an uncommon site of variceal bleeding. Arch Surg. 1977;112(4):501-504.
24. Toumeh KK, Girardot JD, Choo IW, Andrews JC, Cho KJ. Percutaneous transhepatic embolization as treatment for bleeding ileostomy varices. Cardiovasc Intervent Radiol. 1995;18(3):179-182.
25. Peck JJ, Boyden AM. Exigent ileostomy hemorrhage. A complication of proctocolectomy in patients with chronic ulcerative colitis and primary sclerosing cholangitis. Am J Surg. 1985;150(1):153-158.
26. Morris CS, Najarian KE. Transjugular intrahepatic portosystemic shunt for bleeding stomal varices associated with chronic portal vein occlusion: long-term angiographic, hemodynamic, and clinical follow-up. Am J Gastroenterol. 2000;95(10):2966-2968.
27. Morgan TR, Feldshon SD, Tripp MR. Recurrent stomal variceal bleeding. Successful treatment using injection sclerotherapy. Dis Colon Rectum. 1986;29(4):269-270.
28. Alkari B, Shaath NM, El-Dhuwaib Y, et al. Transjugular intrahepatic portosystemic shunt and variceal embolisation in the management of bleeding stomalvarices. Int J Colorectal Dis. 2005;20(5):457-462.
29. Samaraweera RN, Feldman L, Widrich WC, et al. Stomal varices: percutaneous transhepatic embolization. Radiology. 1989; 170(3 Pt 1):779-782.
30. Conte JV, Arcomano TA, Naficy MA, Holt RW. Treatment of bleeding stomal varices. Report of a case and review of the literature. Dis Colon Rectum. 1990;33(4):308-314.
31. Goldstein MB, Brandt LJ, Bernstein LH, Sprayragen S. Hemorrhage from ileal varices: a delayed complication after total proctocolectomy in a patient with ulcerative colitis and cirrhosis. Am J Gastroenterol. 1983;78(6):351-354.
32. Pomier-Layrargues G, Villeneuve JP, Deschenes M, et al. Transjugular intrahepatic portosystemic shunt (TIPS) versus endoscopic variceal ligation in the prevention of variceal rebleeding in patients with cirrhosis: a randomised trial. Gut. 2001;48(3):390-396.
33. Shibata D, Brophy DP, Gordon FD, Anastopoulos HT, Sentovich SM, Bleday R. Transjugular intrahepatic portosystemic shunt for treatment of bleeding ectopic varices with portal hypertension. Dis Colon Rectum. 1999;42 (12):1581-1585.
34. Wong RC, Berg CL. Portal hypertensive stomapathy: a newly described entity and its successful treatment by placement of a transjugular intrahepatic portosystemic shunt. Am J Gastroenterol. 1997;92(6):1056-1057.
35. Bernstein D, Yrizarry J, Reddy KR, Russell E, Jeffers L,Schiff ER. Transjugular intrahepatic portosystemic shunt in the treatment of intermittently bleeding stomal varices. Am J Gastroenterol. 1996;91(10):2237-2238.
36. Weinberg GD, Matalon TA, Brunner MC, Patel SK, Sandler R. Bleeding stomal varices: treatment with a transjugular intrahepatic portosystemic shunt in two pediatric patients. J Vase Interv Radiol. 1995;6(2):233-236.
37. Lagier E, Rousseau H, Maquin P, Olives JP, Le Tallec C, Vinel JP. Treatment of bleeding stomal varices using transjugular intrahepatic portosystemic shunt. J Pediatr Gastroenterol Nutr. 1994;18 (4):501-503.
38. Tripathi D, Lui HF, Helmy A, et al. Randomised controlled trial of long term Portographic follow up versus variceal band ligation following transjugular intrahepatic portosystemic stent shunt for preventing oesophageal variceal rebleeding. Gut. 2004;53(3):431-437.