Enterostomal varices secondary to portal hypertension: progression of disease in conservatively managed cases

Archives of Surgery
N B AckermanJ Fey

Abstract

A follow-up of patients with portal hypertension who were bleeding from enterostomal varices in ileostomies or colostomies demonstrated the progression of disease and poor prognosis. Repeated episodes of hemorrhage became more frequent, liver function deteriorated, and death from hepatic failure finally occurred. The hemorrhagic episodes seemed to contribute to the deterioration of the patients' conditions. Portasystemic shunting to eliminate enterostomal bleeding should be considered for the patient who is an acceptable operative risk. If major surgery is contraindicated, local hemostatic measures offer, temporarily, palliative alleviation of bleeding, but the ultimate prognosis is grave.

Citations

Feb 1, 2008·Clinics in Colon and Rectal Surgery·Syed G Husain, Thomas E Cataldo
Jan 1, 2011·BMJ Case Reports·Faraan KhanRichard Gordon-Williams
Nov 16, 2012·Techniques in Coloproctology·M O Pennick, D Y Artioukh
Oct 14, 2011·International Journal of Hepatology·Takahiro SatoTakumi Ohmura
Dec 1, 1991·Diseases of the Colon and Rectum·C FuciniR R Dozois
Jul 1, 1990·Diseases of the Colon and Rectum·P L RobertsM C Veidenheimer
Apr 1, 1986·Diseases of the Colon and Rectum·R HesterbergH D Röher
Apr 1, 1986·Diseases of the Colon and Rectum·T R MorganM R Tripp
Nov 11, 1999·Cardiovascular and Interventional Radiology·K KishimotoN Matsunaga
Feb 27, 2007·Journal of Gastroenterology·Shigeki MinamiTakashi Kanematsu
Apr 1, 1990·Diseases of the Colon and Rectum·J V ConteR W Holt
Mar 1, 1988·International Journal of Colorectal Disease·R M WeaverM R Keighley

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.