Direct percutaneous embolization of bleeding stomal varices
Related Experiment Video
Updated: Jun 24, 2026

Underwater Endoscopic Injection Sclerotherapy for Gastroesophageal Varices
Published on: August 1, 2025
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
Abstract:
Stomal variceal bleeding can develop in patients with underlying cirrhosis and portal hypertension. Most patients are best treated with transjugular intrahepatic portosystemic shunt (TIPS) creation because this addresses the underlying problem of portal hypertension. However, some patients are not good candidates for TIPS creation because they have end-stage liver disease or encephalopathy. We describe such a patient who presented with recurrent bleeding stomal varices, which was successfully treated with percutaneous coil embolization. The patient had bleeding-free survival for 1 month before death from unrelated causes.
Related Concept Videos
Esophageal Varices-II: Clinical Features and Management
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol abuse, or...
Varicose Veins II: Diagnostic Studies and Interprofessional Care
Venous Thrombosis III: Interprofessional Care
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care
Esophageal Varices-I: Introduction
Peripheral Artery Disease III: Interprofessional Care

