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Updated: Jun 13, 2026

Fully Endoscopic Mitral Valve Repair with Percutaneous Cannulation of Groin Vessels
Published on: May 26, 2023
Embolization of bleeding stomal varices by direct percutaneous approach
Ramakrishnan Arulraj1, Kamarjit S Mangat, Dhiraj Tripathi
1Liver Unit, Queen Elizabeth Hospital, Birmingham B15 2TH, UK. arulraas@yahoo.com
Abstract:
Stomal varices can occur in patients with stoma in the presence of portal hypertension. Suture ligation, sclerotherapy, angiographic embolization, stoma revision, beta blockade, portosystemic shunt, and liver transplantation have been described as therapeutic options for bleeding stomal varices. We report the case of a 21-year-old patient with primary sclerosing cholangitis and colectomy with ileostomy for ulcerative colitis, where stomal variceal bleeding was successfully treated by direct percutaneous embolization. We consider percutaneous embolization to be an effective way of treating acute stomal bleeding in decompensated patients while awaiting decisions regarding shunt procedures or liver transplantation.
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