Successful hemostasis of intractable rectal variceal bleeding using variceal embolization

World Journal of Gastroenterology : WJG
Sung Soo AhnSeung Up Kim

Abstract

Portal hypertension causes portosystemic shunting along the gastrointestinal tract, resulting in gastrointestinal varices. Rectal varices and their bleeding is a rare complication, but it can be fatal without appropriate treatment. However, because of its rarity, no established treatment strategy is yet available. In the setting of intractable rectal variceal bleeding, a transjugular intravenous portosystemic shunt can be a treatment of choice to enable portal decompression and thus achieve hemostasis. However, in the case of recurrent rectal variceal bleeding despite successful transjugular intravenous portosystemic shunt, alternative measures to control bleeding are required. Here, we report on a patient with liver cirrhosis who experienced recurrent rectal variceal bleeding even after successful transjugular intravenous portosystemic shunt and was successfully treated with variceal embolization.

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Citations

Apr 25, 2018·The Korean journal of gastroenterology = Taehan Sohwagi Hakhoe chi·Sang Woo ParkHyoung Ook Kim
Jan 6, 2016·World Journal of Hepatology·Kawtar Al Khalloufi, Adeyinka O Laiyemo
May 15, 2020·ANZ Journal of Surgery·Alice LeeHanumant S Chouhan
Sep 18, 2021·World Journal of Emergency Surgery : WJES·Antonio TarasconiFausto Catena
Dec 14, 2019·GE Portuguese Journal of Gastroenterology·Mónica GarridoIsabel Pedroto

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