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Updated: Nov 16, 2025

Measurement of the Hepatic Venous Pressure Gradient and Transjugular Liver Biopsy
Published on: June 18, 2020
Use of Non-Selective Beta-Blocker for Refractory Stomal Variceal Hemorrhage
Xin Mu1, Wendy Winsor1, Julia Trahey1
1Faculty of Medicine, Memorial University of Newfoundland, St. John's, Newfoundland, Canada.
Abstract:
Bleeding stomal varices are often difficult to manage given the comorbidities that are associated with their presentation. Here, we report a case of a 62-year-old female with stomal variceal hemorrhage in the setting of chronic portal vein thrombosis who was ineligible for transhepatic intrajugular portosystemic shunt or surgery as a result of her challenging anatomy and peri-operative risks. Despite coil embolization, this patient experienced refractory bleeds which ceased following the initiation of a non-selective beta-blocker (NSBB). This case provides further evidence for the expanding role of NSBBs as an important therapeutic agent for complicated ectopic varices.
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