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Updated: Jun 24, 2026
02:14
Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
Published on: August 1, 2025
Direct percutaneous embolization of bleeding stomal varices
Sailen G Naidu1, Erik P Castle, J Scott Kriegshauser
1Department of Radiology, Division of Interventional Radiology, Mayo Clinic Arizona, Mayo Clinic Hospital, Phoenix, AZ 85054, USA. naidu.sailen@mayo.edu
Cardiovascular and Interventional Radiology
|March 14, 2009
Summary
Stomal variceal bleeding in cirrhosis patients can be treated with transjugular intrahepatic portosystemic shunt (TIPS). For patients unsuitable for TIPS, percutaneous coil embolization offers a successful alternative for managing bleeding stomal varices.
Area of Science:
- Gastroenterology
- Interventional Radiology
- Hepatology
Background:
- Stomal variceal bleeding is a complication of cirrhosis and portal hypertension.
- Transjugular intrahepatic portosystemic shunt (TIPS) is the preferred treatment for portal hypertension.
- Some patients with end-stage liver disease or encephalopathy are ineligible for TIPS.
Observation:
- A patient with recurrent bleeding stomal varices, unsuitable for TIPS, was observed.
- The patient presented with a history of cirrhosis and portal hypertension.
Findings:
- Percutaneous coil embolization successfully treated the recurrent stomal variceal bleeding.
- The patient achieved bleeding-free survival for one month post-procedure.
Implications:
- Percutaneous coil embolization is a viable treatment option for bleeding stomal varices in TIPS-ineligible patients.
- This case highlights alternative management strategies for complex gastrointestinal bleeding in advanced liver disease.
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