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Bleeding colonic varices controlled by propranolol.

L G McAlpine1, G G Birnie, T E Hilditch

  • 1Department of Medicine, Western Infirmary, Glasgow.

Scottish Medical Journal
|December 1, 1988
PubMed
Summary
This summary is machine-generated.

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Sclerotherapy successfully treated esophageal varices bleeding in a patient with hepatic cirrhosis. Oral propranolol later prevented recurrent gastrointestinal bleeding from colonic varices.

Area of Science:

  • Gastroenterology
  • Hepatology
  • Vascular Medicine

Background:

  • Hepatic cirrhosis commonly leads to esophageal varices, a significant source of gastrointestinal hemorrhage.
  • Management of variceal bleeding requires effective and sustained therapeutic strategies.

Observation:

  • A 64-year-old male patient with hepatic cirrhosis presented with severe esophageal varices hemorrhage.
  • Following successful sclerotherapy for esophageal varices, the patient experienced recurrent bleeding from colonic varices.

Findings:

  • Sclerotherapy effectively obliterated the esophageal varices, preventing further upper gastrointestinal bleeding.
  • Angiography and radionuclide imaging confirmed the presence of varices in the ascending colon.
  • Oral propranolol therapy proved effective in preventing further episodes of gastrointestinal bleeding from colonic varices.

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Implications:

  • This case highlights the potential for varices to develop in non-esophageal locations in patients with advanced liver disease.
  • It underscores the importance of considering and investigating non-esophageal varices in cirrhotic patients with recurrent gastrointestinal bleeding.
  • Propranolol may serve as a valuable therapeutic option for managing bleeding from colonic varices in select patients.